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aQ-[fi 11F, <br />;4 `L <br />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: 125-020A <br />Project Name: <br />Cleanup of South Bend Range, Phase I <br />Base Bid Amount: $1,130,240.00 <br />WBE Goal: <br />4.7% <br />Bidder: Adamo <br />Demolition Co. <br />of <br />Page <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 additionaE space) <br />Dollar Amount of WBE <br />Component <br />=Bid/Pro <br />TBD <br />Trucking <br />$60,500.00 <br />5.3% <br />Submitted by: Richard M. Adamo <br />8/12/25 <br />Print Name <br />Siqkte <br />Date <br />***Goals should be calculated based on the Base Bid only.*** <br />Version 07/19/2023 Contractor's [aid for Public Works - 9 <br />