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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM MWBE-1.0 <br />MWBE UTILIZATION PLAN <br />Is the bidder's sole responsibility to verify whether any listed minority or woman business meets the <br />Project Number: <br />Bidder: <br />123-023 i�� wcProject Name: 2023 Mlcrosurfacing <br />rlAtihr aiN i UtKT Ml4ff'fyKAh,?,tal Bid Amount: <br />MWBE Goal: N/A <br />Page i of <br />Name aAtltlreas ofMWBE <br />Primary Contact Person <br />(Namerrelsphone) <br />Scope of Work to be PerknneE <br />(Atmch sceoVacheduleN you need additional space) <br />Dollar Amount of MWBE <br />Component <br />Pementape <br />of olel <br />BiNPre al <br />gaf 0r\42( rck $(w� <br />hwt5 {MiCAC r <br />}N( a ��5 87 U ayUdES <br />Avew3 JS)c WEST <br />1574-7.87-}cr8 <br />NIA <br />tio,t+it154wo rc y<(pbAB <br />-S(Wd— (C <br />P£R� W1P5Jr <br />'�)iu�µ5 AA0 (3AW&C0`JE7 <br />TC43 5CAi+. 5410 Aae <br />SZy.rf(D-`i R'F <br />�E(KfNI PRfPeaaw¢r? <br />/y/A <br />"t 7"S6 -({.w3'7 <br />Submitted by: &WW1fAN /chwNM VZLkAANCX" _%//'12-3 <br />Pdnt Name Signature I Datei <br />Version 2/14/2022 Page -16 Public Works Quote <br />