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XX <br />CITY OF SOUTH BEND = Y <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 meets the WBE qualifications. <br />Project Number: 123-054R Project Name: Liberty Tower TIF Project— Parking Garage <br />Bidder: Slatile Roofing and Sheet Metal Co., Inc. Base Bid Amount: 975,000.00 WBE Goal: 4.5% <br />Page of <br />NamaBAddressofWBE <br />Prim Contact Person <br />�' <br />(Name/Telephone) <br />Scope of Work <br />(Attach scope/schedulo it you need additional space) <br />Dollar <br />Component <br />JMH Roofing Company, Inc. <br />1219 E. 9lh Street <br />Indianapolis, IN 46202 <br />Jerilyn Huntington <br />317-605-2789 <br />Furnish Masonry materials. <br />$43,875.00 <br />ff4.5% <br />Submitted by: Gerald Longerot i T /rr 12/12/23 <br />Print Name Signature Date <br />Version 09129/2021 Contractors Bid for Public Work - 10 <br />