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,A III N r <br />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: <br />Bidder: <br />119-031C Project Name: Drewry's Brewery Cleanup, Phase I <br />The MRD Group, Inc. <br />Base Bid Amount: 506,500.00 WBE Goal: 4.41% <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[Telephom) <br />(Attach scopetschedule if you need additional space) <br />Component <br />Bid/Proposal <br />Jewel Constracting, LLC <br />Pen <br />Topsoil/ Seeding <br />40,000.00 <br />7.8% <br />2043 South Bend Ave #236 <br />574-400-9194 <br />South Bend, IN 46637 <br />Jack Gray Transport, Inc <br />John <br />Trucking Debris <br />20,000.00 <br />3.9% <br />460 East 15th Ave, <br />219-938-7020 <br />Gary, IN 46403 <br />Submitted by: Gerald Blomberg ��— 03/25/2024 <br />Print Name Signature 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 />