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CITY OF SOUTH BEND u <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 maets the WBE qualifications. <br />***Goals should be calculated based on the Base Bid only.*** <br />Project Number: <br />Bidder: <br />_123-068 Project Name: 2023 Residential Demolitions <br />rreen nPmniitinn Contractors_ Inc. Base Bid Amount: ;)372 450.00 <br />Name & Address of WBE I Primary Contact Person <br />(Namefretephone) <br />San Corporation Sandra Smith <br />1112 East Summit St <br />Crown Point, Indiana 46307 <br />Submitted by: Michael Brough <br />Print Name <br />Scope of Work to be Performed <br />(Attach scops/schedule If you need additional space) <br />Trucking & Hauling Debris to and from site <br />—Goals should be calcu <br />Version 07119/2023 Contractors Bid for Public Works - 10 <br />on the Base Bid only.**" <br />WBE Goal: <br />4.6% <br />Page_2_of_ _ <br />Ddiar Amount of WBE <br />Percentage <br />of Tatal <br />Component <br />SNIP, osal <br />$150,000.00 <br />33% <br />11-27-23 <br />Date <br />