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o` u�rrr .9 <br />CITY OF SOUTH BEND f;( <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: <br />Drewry's Brewery Cleanup, Phase I <br />Bidder: /- 7dia/l A Co�r� 7N �, <br />Base Bid Amount: 1, er.?- <br />WBE Goal: <br />4.41 % <br />Page <br />of— <br />Name &Address of WBE <br />Contact Person <br />Scope of Work to be Performed <br />P <br />J <br />Dollar Amount of WBE <br />Percentage <br />(Name/Telephone) <br />(Attach scope/schedule if you need additional space) <br />Component <br />of Total <br />i <br />�uCKin� <br />0 <br />Submitted by: QjrA / �S✓ <br />Print Name <br />nature <br />***Goals should be calculated based on the Base Bid only.' <br />Version 07/19/2023 Contractor's Bid for Public Works - 9 <br />_ 3 <br />Date <br />