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tJ <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 minority or woman business meets the WBE qualifications. <br />Project Number: <br />Bidder: <br />122-060B Project Name: Century Center Parking Lot Seal and Stripe <br />lyb �ivU�st HIV +i � NV I�f4tN ,u, Total Bid Amount: <br />WBE Goal: 6.1% <br />Page t Of <br />Name &Address of WBE �(Nameffelephone) <br />Scope of Work to be Performed TDollar <br />(Attach scope/schedule 'rf you need additional space)Component <br />Amount of WBE <br />Percentage <br />of Total <br />gldlpro osal <br />, w tL �`uu~�st�c ru� ( <br />�g F t 6v1 A-S c� <br />PAU i— t2 �t � 11ti <br />' <br />� -`duo -` ! <br /># ;L3(. <br />SL.. rN `l e 3 7 <br />At 5 <br />;2 'i ti 3 vS �La wt <br />,2.8Z- U7 <br />{ i�iC� 2� CA t-S <br />Submitted by: O` bJ�L(A/J � <br />Print Name Signature <br />Date <br />-//, 0 /2-3 <br />Version 06/01/2022 Page - 23 Public Works Quote <br />