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........................ <br />................... <br />� sxr..... t : <br />CITY OF SOUTH BEND'•r.- <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN ayv ;l •{ �'}`: <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: 124-023A Project Name: <br />Bidder: <br />Pool House <br />Total Bid Amount: $193,900.00 11Vi33� Goal: 4.56% <br />Names a Address of WBE <br />Primary Contact Person <br />(Name/Telephone) <br />Scope or Work to b�.eeria�med ` =�'`'� J Dollar Amount of WBE <br />etrscopa/sohlttitile`Tf a need additional space) Component <br />Percentage <br />of Total <br />BldlProposal <br />San Corporation <br />1112 E. Summit Street <br />Crown Point, IN 46307 <br />Sandra Smith <br />(219) 29M830 <br />Trucking $8,873.60 <br />4.7% <br />I <br />Submitted by: Michael J. Brough February 24, 2025 <br />Print Name Signature Date <br />***Goals should be calculated based on the Base Bid only.*" <br />Version 6/20/2024 Contractor's Bid for Public Works - 9 <br />