Laserfiche WebLink
�O O <br />2' <br />CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN m ""' <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 />122-060B <br />Project Name: Century Center Parking Lot Seal and Stripe <br />Total Bid Amount: <br />WBE Goal: 6.1 % <br />Page of <br />Name & Address of WBE <br />Primary Contact Person <br />Name/Tele hone <br />( p ) <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 <br />�ignawre <br />Date <br />Version 06/012022 <br />Page - 23 <br />Public Works Quote <br />