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E,OcTH OC,� <br />?J <br />CITY OF SOUTH BEND m <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM WBE-1.0 feG <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: 123-001 Project Name: 2uzS turn anu �. <br />Bidder.�C��ZUM �S-Q�aceSTotal Bid Amount: <br />Division A — WBE Goal: 5.42% Division A Bid Amount: <br />Primary Contact Person <br />Name & Address of WBE (Name/Telephone) <br />5 <5 6 n;T61�t►tB �°h- fr)r4cra41% <br />4W74 772 - 3/0�3 <br />5 <br />AMC 5;y/$= 4A444 <br />4 Pf <br />Division B —WBE Goal: 5.57% <br />Name &Address of WBE <br />S �ay5�e 5 <br />Primary Contact Person <br />(Namelrelephone) <br />�. S X� <br />Scope of Work to be Performed <br />(Attach scopelschedule if you need additional space) <br />z Z <br />Division B Bid Amount: <br />Scope of Work to be Performed <br />(Attach scope/schedule if you need additional space) <br />2 pages <br />Dollar Amount of WBE <br />Component <br />Percentage <br />Dollar Amount of WBE of Total <br />Component Bid/Proposal <br />S2:yr <br />Version 09/29/2021 Contractor's Bid for Public Works - 12 <br />