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/I <br />CITY OF SOUTH BEND ° <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM WBE-1.0 <br />WBE UTILIZATION PLAN <br />This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects involving WBE participation. It is <br />the bidder's sole responsibility to verify whether any listed woman -owned business meets the WBE qualifications. <br />Project Number: 121-029a Project Name: <br />Morris Performing Arts Center - Main Level Slab Replacement <br />1� o <br />Bidder: The Robert Henry Corporation <br />Total Bid Amount: J10 I ,_2M.4&$ ,t"_�] <br />WBE Goal: <br />4.1% <br />M. J. Schuetz Insurance Services <br />Jenni Waggoner Bonds <br />Page J <br />of�i <br />Primary Contact Person <br />Name & Address of WBE <br />Scope of Work to be Performed Dollar Amount of WBE <br />Percentage <br />of Total <br />(Name/Telephone) <br />(Attach scope/schedule if you need additional space) <br />Component <br />BidlProposal <br />Ritschard Brothers, Inc. <br />1204 West Sample <br />Rachelle Dolniak Excavating Site Demo <br />574-288-4777 <br />1� o <br />South Bend, IN 46619 <br />M. J. Schuetz Insurance Services <br />Jenni Waggoner Bonds <br />1531 Indiana Ave. <br />317-548-3932 <br />Z/1 16DY1. <br />L" <br />Indianapolis, IN 46202 <br />6.3-176 <br />Submitted by: <br />Brian S. Henry, President Tuesday, December 14, 2021 <br />Print Name Signature Date <br />Version 09/29/2021 Contractor's Bid for Public Works - 9 <br />