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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 <br />is the bidder's sole responsibility to verify whether any listed minority or woman business meets the WBE qualifications. <br />Project Number: 123-049 Project Name: SBFD Parking Lot Rehab <br />Bidder: Day's Construction & Asphalt Total Bid Amount: $47,000 <br />WBE Goal: 6.1 % <br />Page I of 1 <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 />S.A.N. Trucking <br />1112 E. Summit St <br />Crown Point, IN 46307 <br />Sandy SmithS.A.N. <br />219-299-6830 <br />Trucking will au asphalt etween t e <br />six locations listed in the Bid. <br />$10,000 <br />21 % <br />Submitted by: <br />ROBERT DAY <br />Print Name <br />Version 03115/2023 <br />Signature <br />Page - 26 <br />MAY 8, 2023 <br />Date <br />Public Works Quote <br />