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ofs°UTU <br />CIT OF SOUTH BEND <br />MINORIT AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN` :, PEACE r <br />FORM WBE-1 0 <br />�1yG5 <br />WBE UTILI ATION PLAN <br />This completed form should a supplied ith Bids that pertain to Cit of South Bend Pu lic Works Projects in of ing WBE participation It is <br />the idder s sole responsi flit to erif hether an listed oman-o ned usiness meets the WBE ualifications <br />Project Number: 122-034 Project Name: Fire Station #8 R <br />Bidder: R. Yoder Construction, Inc. Total Bid Amount: <br />lacement <br />WBE Goal <br />Page <br />A G <br />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: Jason Yoder <br />Print Name Si ure <br />A- <br />Version 09/29/2021 Contractors Bid for Public Works - 9 <br />07/25/2023 <br />Date <br />