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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 />Project Number: <br />Bidder: <br />_11_7_-_0_5_9A _____ Project Name: <br />South Well Field, Water Treatment Plant, and Distribution System Improvements <br />Contract A-Well Field and Water Treatment Plant Improvements (Bid Package 1) <br />�R�Y�o�ci-e�r�G�o�□�s�tr�u�ct�io�□�, ........... l□�c�---Total Bid Amount: ____________ WBE Goal: 4 •1 <br />Page ___ of ___ _ <br />Percentage of Primary Contact Person Scope of Work to be Performed Dollar Amount of WBE Name & Address of WBE Total (Name/Telephone) (Attach scope/schedule if you need additional space) Component Bid/Proposal <br />Submitted by: Jason Yoder --------------Print Name SignatuGh ft< 4/22/2025 <br />Date <br />Version 09/29/2021 Contractor's Bid for Public Works - 9 <br />9%