Laserfiche WebLink
CITY OF SUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM WBE-1.0 <br />WBE UTILIZATION PLAN <br />BPI' -Alternate .1-2 WBE Goal: 3.6% <br />Name & Address of�-- <br />WBE Primary Contact Person <br />{Name?elephone) <br />BPI -Alternate 1-3 WBE Goal: 3.G% <br />Name & Address of <br />WBE Primary Contlerson <br />--------�_ {Name/Telephone) <br />Submitted by: <br />T ej e— <br />ci s <br />Print Name <br />Scope of Work to be Performed <br />(Attach scope/schedule If you need additional space) <br />aof <br />Scope of Work to be <br />Performe' <br />(Attach soope/schedule if you ne additional space) <br />Signature <br />Version 10/1$121 <br />Contractor's Bid for Public Works - 9,4 <br />a <br />-3 <br />Date <br />�� s{lll'1'tf jj� <br />DollarAmount of pet of <br />WBE Co______ mponeot TotalrcBid loge sat <br />DollarAmountof nl <br />Percentage of <br />WB_ E �omponent Total Bid/Proposal <br />