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CITY OF SOUTH BEND c u rimy, <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN L <br />FORM WBE-1.0 <br />.n.u; <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: ee12g1-p61R Project Name: Ward Bake Exterior Improvements —Bid Packa e 1 Mason <br />Bidder: 6`�ryl <br />V-� �'6u �j'j it cr.t•��� i Total Bid Amount: -�` f Cl <br />114 WBE Goal: 3.6% _ <br />BPI -Base Bid WBE Goal: 3.6% Page^l_ofI <br />Name & Address of Primary Contact Person <br />WBE _ (Name/Telephone) <br />BPI -Alternate 1-1 WBE Goal: 3.6% <br />Name & Address of <br />WBE <br />Version 10/18/21 <br />Scope of Work to be Performed <br />(Attach scope/schedule if you need additional space) <br />4_013 L A <br />Base <br />Primary Contact Person <br />(Name/Telephone) Scope of Work to be Performed <br />gg (Attach scope/schedule if you n ed additional space) <br />i iAQ — <br />Alternate 1• <br />Contractor's Bid for Public Works — 9.3 <br />DollarAmount of Percentage of <br />WBE Component Total Bid/Proposal <br />Dollar Amount of Percentage of <br />WBE Component Total Bid/Proposal <br />