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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM WBE-1.0 <br />WBE UTILIZATION PLAN IH65 <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 />123-056 <br />Project Name: RACLIN MURPHY ENCORE CENTER <br />Ziolkowski Construction, Inc. Total Bid Amount: WBE Goal: 3.52% <br />Page--- t—of <br />Name & Address of WBE <br />Primary Contact Person <br />Name/Tele hone <br />( p ) <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 Total <br />Bid/Pro osal <br />Hill Fire Protection <br />Charles Van Senus <br />Fire Protection <br />$159,500 <br />(��� <br />11045 Gage Ave. <br />Franklin Park, IL 60131 <br />Ritschard Bros. Inc. <br />Don Ritschard <br />Earthwork and Site Utilities <br />$724,300 <br />1204 W. Sample St. <br />l� 1. <br />South Bend, IN 46619 <br />`� <br />Edward J. White, Inc. <br />Jeffrey Bucher <br />Plumbing & HVAC <br />$138,100 <br />0., 9 ( <br />1011 S. Michigan St. <br />South Bend, IN 46601 <br />Submitted by: Marcelo A. Suvelza <br />Print Name <br />***Goals should be calculated based on the Base Bid only.*** <br />Version 03/15/2024 Contractor's Bid for Public Works - 9 <br />06/11 /2024 <br />Date <br />