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CITY OF SOUTH BEND <br />Primary Contact Person <br />(Namerrelephone) <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRA LAN <br />Dollar Amount of <br />WBE Component <br />FORM WBE-1.0 <br />1. <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 meetdthe WBE qualifications. <br />Project Number: 121-0618 Project Name: Ward Ba <br />Bidder: Total Bid <br />BPI -Base Bid WBE Goal: 3.6% <br />WBE Goal: 3.6% <br />Page of <br />Name & Address of <br />WBE <br />Primary Contact Person <br />(Namerrelephone) <br />S,. pe of Work to be Performed <br />(Attach s pe/schedule if you need additional space) <br />Dollar Amount of <br />WBE Component <br />Percentage of <br />Total Bid/Proposal <br />Base Bid WBE Totals <br />BP1-Alternate 1-1 WBE Goal: 3.6% <br />Name & Address of <br />WBE <br />Primary Contact Person <br />(Namerrelephone) <br />Scope of Work to be Performed <br />(Attach scope/schedule if you need additional space) <br />Dollar Amount of <br />WBE Component <br />Percentage of <br />Total BidlProposal <br />Alternate 1-1 WBE Totals <br />mtractor's Bid for Public Works — 9.3 <br />