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CITY OF SOUTH BEND <br />tF,"Wlk <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: 119-031C Project Name: Drewry's Brewery Cleanup, Phase I <br />Bidder: Green Demolition Contractors, Inc. Base Bid Amount: $1,152,000.00 WBE Goal: 4.41% <br />Page 2 of2_ <br />Name & Address of WBE <br />San Corporation <br />1112 East Summit St <br />Crown Point, Indiana <br />46307 <br />Primary Contact Person <br />(Namefrelephone) <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 TOW <br />BidlPruppsal <br />Sandra Smith <br />219-299-6830 <br />Trucking & Hauling <br />$51,840.00 <br />4.5% <br />i <br />i <br />Submitted by: Michael Brough __ r <br />Print Name `J Signature <br />***Goals should be calculated based on the Base Bid only.*** <br />Version 07119/2023 Contractor's Bid for Public Works - 9 <br />3-25-2024 <br />Date <br />