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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 minority or woman business meets the WBE qualifications. <br />Project Number: <br />Bidder: <br />120-053 <br />Project Name <br />Beck's Lake I LaSalle Park NPL Site <br />Total Bid Amount: Jam, Y �; 7'3. Jim WBE Goal: 3.5% <br />Page <br />Name & Address of WBE <br />Primary Contact Person <br />(Name/Telephone) <br />Scope of Work to be Performed <br />(Attach scope/schedule if you need additional space) <br />Dollar Amount of WBE <br />Component <br />Percentage <br />of Total <br />Bid/Proposal <br />CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />-; <br />FORM MWBE-1.0 <br />MWBE UTILIZATION PLAN <br />5-7y --V Ian�� <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 minority or woman business meets the WBE qualifications. <br />Project Number: <br />Bidder: <br />120-053 <br />Project Name <br />Beck's Lake I LaSalle Park NPL Site <br />Total Bid Amount: Jam, Y �; 7'3. Jim WBE Goal: 3.5% <br />Page <br />Name & Address of WBE <br />Primary Contact Person <br />(Name/Telephone) <br />Scope of Work to be Performed <br />(Attach scope/schedule if you need additional space) <br />Dollar Amount of WBE <br />Component <br />Percentage <br />of Total <br />Bid/Proposal <br />5-7y --V Ian�� <br /><Sz-3v �, 13 a <br />Submitted by: Ar / <br />Print Name Signature Date <br />Version 01/13/2021 Contractor's Bid for Public Works - 10 <br />