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y I± Ifr <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 <br />is 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 />123-076 <br />Renascent Inc. <br />Demolition of the South Bend Medical Foundation, 531 N. Main Street, South <br />Project Name: Bend, IN _ <br />Total Bid Amount: $2,338,000.00 <br />Name & Address of WBE Primary Contact Person I Scope of Work to be Performed <br />(Name/Telephone) (Attach scope/schedule if you need additional space) <br />Renascent Inc. Samuel Fray All demolition and management of the project. <br />317-416-2445 <br />Indianapolis, IN 46278 <br />Submitted by: <br />Samuel Fray <br />y"Wz0f <br />Print Name <br />Signature <br />***Goals should be calculated based on the Base Bid only.*** <br />Version 07/19/2023 Contractor's Bid for Public Works - 11 <br />WBE Goal: 4.7% <br />Page 1 of 1 <br />Dollar Amount of WBE I Percentage <br />Component of Total <br />Bid/Proposal <br />$2,338,000.00 100% <br />05/28/2024 <br />Date <br />