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CITY OF SOUTH BEND <br />�1'X <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 />***Goals should be calculated based on the Base Bid only.*** <br />Project Number: 123-014 Project Name: Demolition of 1000 West Sample Street <br />Bidder: Ritschard Bros., Inc. Base Bid Amount: $924,573.00 WBE Goal: 4.65% <br />Page 1 of 1 <br />Name & Address of WBE <br />Primary Contact Person <br />Scope of Work to be Performed <br />Dollar Amount of WBE <br />Percentage <br />of Total <br />(Name/Telephone) <br />(Attach scope/schedule if you need additional space) <br />Component <br />Bid/Proposal <br />Ritschard Bros., Inc. <br />Ra^helle Dol-nyak <br />Building Demolition <br />647,202.00 <br />70% <br />1204 W. Sample Street <br />574-288-4777 <br />South Bend, IN 46619 <br />State Barricading, Inc. <br />Mary Michalski <br />Traffic Control <br />3,870.00 <br />.41% <br />24963 US 20 W <br />574-287-2078 <br />South Bend, IN 46628 <br />Submitted by: <br />Rachelle L. Dolniak <br />Print Name <br />t,L�� kt 2/13/2024 <br />SI nature Date <br />***Goals should be calculated based on the Base Bid only.*** <br />Version 07/19/2023 Contractor's Bid for Public Works - 9 <br />