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ra T r <br />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: 123-043 Project Name: <br />Bidder: Sinclair Recreation <br />Name & Address of WBE <br />Primary Contact Person <br />(Name(Telephone) <br />Jlnciair meceaiion is a vvorz i uiane arnuialr <br />Replacement of Playground Surfacing at Southeast Park <br />Total Bid Amount: $261,000.00 <br />Scope of Work to be Performed <br />(Attach scope/schedule if you need additio <br />Entire scope of project. <br />Submitted by: Diane Sinclair <br />Print Name Signature <br />Version 09/29/2021 Contractor's Bid for Public Works - 9 <br />WBE Goal: 4.70% <br />Page of <br />Dollar Amount of WBE i Percentage <br />..F T.d..l <br />6-8-2023 <br />vaLc <br />