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?4//�,umi <br />CITY OF SOUTH BEND <br />Ilk <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />;= <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: 123-014R Project Name: Demolition of 1000 West Sample Street <br />Bidder: Green Demolition Contractors. Inc. Base Bid Amount: $528,800.00 WBE Goal: 4.65% <br />Page 2 of 2 <br />Name & Address of WBE <br />Printery Contact Person <br />(Namelfelephone) <br />Scope of Work to be Performed <br />(Attach scope/schedule if you need additional space) <br />Trucking & Hauling <br />DalmAmount of WBE <br />C-4-namt <br />$23,780.00 <br />Percentage <br />of Total <br />Bid/Proposal <br />San Corporation <br />1112 East Summit St <br />Crown Point, Indiana <br />46307 <br />Sandra Smith <br />219-299-6830 <br />4.5% <br />Submitted by: Michael Brough <br />Print Name <br />3-25-2024 <br />'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 />