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`ti4N'rn iiEaii <br />CITY OF SOUTH BEND <br />- <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: <br />Bidder: <br />123-054R <br />Project Name: Liberty Tower TIF Project — Parking Garage <br />RAM Construction Services of Michigan, Inc. Base Bid Amount: $924,000.00 WBE Goal: 4.5% <br />panp 1 ..f 1 <br />Name 8 Address of WBE <br />Crossroads Highway Products LLC <br />Mooresville, IN <br />Pnmary Contact Person <br />Name/rele hone <br />( p ) <br />Stephanie Duncan <br />317-628-4039 <br />Scope of Work to be Performed <br />p <br />(Attach scope/schedule if you need additional space) <br />Material Supplier <br />p <br />Dollar Amount nt WBE <br />Component <br />$46,200.00 <br />Percentage <br />of Total <br />Bid/Proposal <br />5% <br />Submitted by: Andrew Sandzik, VP Restoration �' �12/12/2023 <br />Print Name Signature Date <br />Version 09/29/2021 Contractor's Bid for Public Work - 10 <br />