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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM WBE-1.0 <br />~1HI <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 <br />Project Name <br />Monroe Circle Demolition <br />Ritschard Bros., Inc. Total Bid Amount: <br />$1,728,361.00 <br />WBE Goal: 4.7% <br />Page 1 of <br />Name & Address of WBE <br />Primary Contact Person <br />Scope of Work to be Performed <br />Dollar Amount of WBE <br />Percentage <br />of Total <br />(Name/Telephone) <br />(Attach scope/schedule if you need additional space) <br />Component <br />Bid/Proposal <br />Ritschard Bros., Inc. <br />Rachelle Dolniak <br />Building Demolition and Removal <br />$1,555,524.00 <br />90% <br />1204 W. Sample Street <br />574-288-4777 <br />South Bend, IN 46619 <br />State Barricading, Inc. <br />Mary Michalski <br />Barricades/Traffic Control <br />1,000.00 <br />.05% <br />P.O. Box 3751 <br />574-287-2078 <br />South Bend, IN 46619 <br />Submitted by: Rachelle L. Dolniak L�,a ' X,��F 5/23/2023 <br />Print Name 8i6nature Date <br />Version 09/29/2021 Contractor's Bid for Public Works - 9 <br />