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CITY OF SOUTH BEND o <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 />119-031 D <br />Project Name: Drewry's Brewery Cleanup Phase II Bottling House Demolition <br />Adamo Demolition Company Total Bid Amount: <br />WBE Goal: 4.54% <br />Page of <br />Name & Address of WBE <br />Primary Contact Person <br />(Nam hone <br />( phone) <br />Scope of Work to be Performed <br />(Attach scopelschedufe if you need additional space) <br />Dollar Amount of WBE <br />Component <br />Percentage <br />of Total <br />-Bid/Proposal <br />State Barricading <br />24963 US 20 West <br />South Bend,IN 46628 <br />Mary Michalski <br />574-287-2078 <br />Barricades <br />$3205.00 <br />.0017 <br />Submitted by: <br />Richard M. Adamo <br />Print Name <br />***Goals should be calculated based on the Base Bid only.*** <br />Version 07M9/2023 Contractor's Bid for Public Works - 9 <br />07/22/2024 <br />Date <br />