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c�u�t�ds^\ <br />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 woman -owned business meets the WBE qualifications. <br />Project Number: 122-014C Project Name: 2023 Traffic Calming <br />Bidder: PR[wfSTUM 60A)CA TtL S,C�40X6{.STotal Bid Amount: ��,9r�,0?60 WBE Goal: 0.09% <br />DIVISION 1 BID AMOUNT�331� 39� Page of <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 />ST/F'f� BAR9;r4AO2wn16 <br />0?g9(03 6(5;45� WdEs7� <br />SourN QE,UD�,JW N(a6028 <br />77AnCS <br />M=J!015KZ <br />57y 287-.707$ <br />STG� SNST/�GC14T�dtJ / <br />�RkGFSL <br />$�j <br />/ <br />D��o <br />Version 09/29/2021 Contractor's Bid for Public Works - 19 <br />