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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 woman -owned business meets the WBE qualifications. <br />Project Number: <br />Bidder: <br />121 -048A -R <br />Project Name: <br />Rieth-Riley Construction Co., Inc. <br />South Bend Neighborhood Infrastructure Project — Riverside Drive and Leland <br />Avenue Intersection <br />Total Bid Amount: , f,�y ®®Q• WBE Goal: 5.5% <br />Page 1 of 1 <br />Name & Address of WBE <br />�ypL1II g�,i <br />CITY OF SOUTH BEND <br />Iu� <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />c��iv�l�s/ylolli�t� toc. <br />FORM WBE-1.0 <br />�cAraBin$ <br />WBE UTILIZATION PLAN <br />9G% <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 meets the WBE qualifications. <br />Project Number: <br />Bidder: <br />121 -048A -R <br />Project Name: <br />Rieth-Riley Construction Co., Inc. <br />South Bend Neighborhood Infrastructure Project — Riverside Drive and Leland <br />Avenue Intersection <br />Total Bid Amount: , f,�y ®®Q• WBE Goal: 5.5% <br />Page 1 of 1 <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 />c��iv�l�s/ylolli�t� toc. <br />N.M <br />� <br />�cAraBin$ <br />0 <br />9G% <br />3113 Z-17. <br />gr 2.7.15' S/o <br />J41-,eson vel lco %Ie+ q1)30 <br />f{awk Er,kqr►ses, Inc .&'ee <br />AX I � <br />�1 �,�a c <br />� y�, � �7. 00 <br />y.37 5y- <br />�6a.?09'0 <br />sN y1307 <br />.219. <br />.211. <br />M0d9oerw� 7r_Lt E. n6 Int• <br />Kar" OVjvr 60%r�' <br />✓vcln� <br />2�oa w. ��� Rd. <br />aB4a.3gg. B4Gi <br />F044 Wou4m, i Al q4l (I <br />Submitted by:/° <br />An AAM_� <br />Nri QaamAek ignature <br />Version 09/29/2021 Contractor's Bid for Public Works - 10 <br />10/11/22 <br />Date <br />