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'H <br />� M <br />CITY OF SOUTH BEND �; l <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM WBE-1.0 w <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 70-5PO 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 />Total Bid Amount: WBE Goal: 4.19% <br />Page___of. <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 <br />Component <br />Percentage of <br />Total <br />Bid/Proposal <br />Submitted by <br />Jason Yoder <br />Print Name <br />Signatur <br />Version 09/29/2021 Contractor's Bid for Public Works - 9 <br />4/22/2025 <br />Date <br />