Laserfiche WebLink
CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM WBE-1.0 <br />WBE UTILIZATION PLAN <br />Version 06/01/2022 Page - 21 Public Works Quote <br />This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects involving WBE parti cipation. It is <br />the bidder’s sole responsibility to verify whether any listed minority or woman business meets the WBE qualifications. <br />Project Number: 122-053 Project Name: Lexington Ave and Darden Rd Hydrant Installation <br />Bidder: Total Bid Amount: WBE Goal: 4.3% <br />Page_______of___ ____ <br />Name & Address of WBE 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 />Submitted by: <br />Print Name Signature Date