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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: 123-030 Project Name: 'The Hill' TIF Project — Site Work <br />Bidder: The Robert Henry Corporation Total Bid Amount: $650,000.00 WBE Goal: 4.9% <br />Page 1 of <br />Name 8 Address of WBE <br />Primary Contact Person <br />(Name/Telephone) <br />Scope of Work to be Performed <br />(Attach scopeischedule If you need additional space) <br />Dollar Amount of WBE <br />Component <br />Percentage <br />of Total <br />SicVPrcposal <br />Ritschard Bros Inc. <br />1204 W SamDle St <br />South Bend. IN 46619 <br />Don Ritschard <br />574-288-4777 <br />Excavation and site utilities <br />$303,468 <br />46.68% <br />Submitted by: Brian S. Henry, President May 91h, 2023 <br />Print Name Signature Date <br />Version 09i2912021 Contractor's Bid for Public Works - 9 <br />