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CITY OF SOUTH BEND <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: 119-109R Project Name: CNG Compressor Upgrade <br />Bidder: KW Services, LLC Total Bid Amount: $1,545,000.00 WBE Goal: 1.61 % <br />Page 1 of 1 <br />Name &Address of WBE <br />Primary Contact Person <br />(Name Telephone) <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 />EM Service <br />678 Front Street <br />Suite 365 <br />Grand Rapids, Ml <br />Laura Hopson <br />800-655-5053 <br />Miscellaneous Electrical <br />Materials <br />$33,990.00 <br />2.2% <br />49504 <br />Submitted by: Anthony J. Maloney I II 1 <br />Print Name ignature <br />***Goals should be calculated base on the Base Bid only. <br />CNG Compressor Upgrade <br />Project No. 119-109R Contractor's Bid for Public Works - 9 Version 07/19/2023 <br />2/27/2024 <br />Date <br />