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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 <br />Division 4 — WBE Goal: 6.10% <br />Division 4 Bid Amount: <br />4SOUTH gE� <br />� f <br />U G, <br />w' �PE E 'a <br />%. 1865 a <br />Name & Address of WBE <br />Primary Contact Person <br />(Name/Telephone) <br />Scope of Work to be Performed <br />(Attach scope/schedule if you need additional space) <br />Dollar Amount of WBE Component <br />Percentage <br />of Total <br />Bid/Pro osaI <br />Submitted by: <br />Print Name Signature <br />***Goals should be calculated based on the Base Bid only.*** <br />Version 3/15/2024 Page - 31 Public Works Quote <br />Date <br />