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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 />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 />122-047 <br />Project Name: Plaza Park Improvements <br />Acorn Landscaping LLC Total Bid Amount: 162,177.78 <br />WBE Goal: 3.2% <br />Page 1 of 1 <br />Name &Address of WBE <br />Primary Contact Person <br />(Namelrelephone) <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 />Sinclair Recreation, LLC <br />Rocki Stillson <br />(574)-301-9542 <br />Poured in Place Rubber Surfacing <br />$ 20,160.00 <br />12.43% <br />Submitted by: <br />Jeff Ritschard <br />Print Name <br />Version 06/0112022 <br />Jeff art thavi <br />Signature <br />Page - 22 <br />12, 2022 <br />Date <br />Public Works Quote <br />