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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN l <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: <br />Bidder: <br />123-048 Project Name: Monroe Circle Demolition <br />Green Demolition Contractors, Inc Total Bid Amount: $851,600.00 WBE Goal: 4 7% <br />Name & Address of WBE <br />SanCorporation <br />1112 E. Summit <br />Crown Point, IN 46307 <br />Primary Contact Person <br />(Namerrelephone) <br />Sandra Smith <br />219-299-6830 <br />Page of <br />Scope of Work to be Performed Dollar Amount of WBE Percentage <br />(Attach scope/schedule if you need additional space) Component of Total <br />Bid/Pr000sal . <br />Trucking & Hauling .$53,225.00 6.25% <br />Submitted by: Jason Bennett `� 1 <br />Print Name Signatu <br />Version 09/29/2021 Contractor's Bid for Public Works - 9 <br />- 23-May-2023 <br />Date <br />