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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM WBE-1.0 <br />WBE UTILIZATION PLAN <br />U/ -02- <br />Division <br />2Division 3 — Kf3E Goal: 5.5% Division 3 Bid Amount: /CV <br />Name 8 Address of WBE <br />Primary Contact Person <br />Scope of Work to be Performed <br />Dollar Amount of WBE <br />Percentage <br />of Total <br />��v 1�C.nI�'Li <br />(Pq ! -a079 <br />(Name/Telephone) <br />(Attach scope/schedule if you need additional space) <br />Component <br />Bid/Proposal <br />yr'aTG gr�,eRscaosN` <br />7+1�},RY MS <br />—1,X4f1-L C- <br />ae <br />`�Faa� — <br />% <br />2v4TµLj <br />q 7-.�0 <br />00 <br />Division 4 — WBE Goal: 4.5% Division 4 Bid Amount: 130 % ¢S <br />Name &Address of WBE <br />Primary Contact Person <br />Scope of Work to be Performed <br />Dollar Amount of WBE <br />Percentage <br />of Total <br />��v 1�C.nI�'Li <br />(Pq ! -a079 <br />(Name/Telephone) <br />(Attach scope/schedule if you need additional space) <br />Component <br />Bid/Proposal <br />TG R SGRDSn16 <br />,403 u5 .Z? <br />/1//{a j/ (sib <br />—1,X4f1-L C- <br />ae <br />`�Faa� — <br />2,7& <br />q 7-.�0 <br />Ll�g oO <br />Division 5 )OBE Goal: 4.5% Division 5 Bid Amount: ly7' / <br />Name 8 Address of WBE <br />Primary Contact Person Scope of Work to be Performed <br />(Name/Telephone) (Attach scope/schedule if you need additional space) <br />Dollar Amount of WBE <br />Component <br />Percentage <br />of Total <br />Bid/Proposal <br />�¢YE OrAJG <br />��v 1�C.nI�'Li <br />(Pq ! -a079 <br />-3 <br />Submitted by: R66 /3fc-4,Ek 2 /�ii 7//,2/-22- <br />Print <br />//,2/-2z <br />Print Name Signature Date <br />Version 09/29/2021 Contractor's Bid for Public Works - 15 <br />