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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN - <br />FORM WBE-1.0 l <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 />122-034 <br />Gibson -Lewis, LLC <br />Project Name: Fire Station #8 Replacement <br />Total Bid Amount: <br />WBE Goal: 4.5% <br />Page of <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 />Submitted by: <br />Robert A. Lingenfelter, President <br />Print Name <br />Signature <br />Version 09/29/2021 Contractor's Bid for Public Works - 9 <br />7/25/23 <br />Date <br />