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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 />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: 11124-032B Project Name: South Bend Public Works Service Center Re -roofing <br />Bidder: Hoekstra Roofing Company Total Bid Amount: WBE Goal: 2.1% <br />Page of <br />Name &Adtlress of WBE <br />Primary Contact Person <br />(Name/relephone) <br />Scope of Work to be Performed <br />(Attach scope/schedule If you need additional space) <br />Collar Amount of WBE <br />Component <br />Percentage <br />of Total <br />Bkl/Pro oral <br />None <br />Submitted by: Tom Lundquist, CFO December 9, 2024 <br />Print Name Signat Date <br />***Goals should be calculated based on the Base Bid only.*** <br />Version 07/19/2023 Contractor's Bid for Public Works -10 <br />