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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM WBE-1.0 _ x.,•_....:.: <br />WBE UTILIZATION PLAN <br />his completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects involving WBE participation. It is <br />Ile bidder's sole responsibility to verify whether any listed woman -owned business meets the WBE qualifications. <br />***Goals should be calculated based on the Base Bid only:`" <br />Droject Number: <br />Sidder: <br />123-068 <br />Project Name <br />2023 Residential Demolitions <br />/,i%•fi E- I� Base Bid Amount: ` '7 j j, ?' WBE Goal: 4.6% <br />Page__�_of( <br />Name &Address of WBE <br />Primary Contact Person <br />(Name/7elephone) <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 />r <br />Submitted by <br />Print Name <br />***Goals should be calculated based on the Base Bid only.*** <br />srsion 07/19/2023 Contractor's Bid for Public Works - 10 <br />