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CITY OF SOUTH BEND . J <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 <br />is the bidder's sole responsibility to verify whether any listed minority or woman business meets the WBE qualifications. <br />***Goals should be calculated based on the Base Bid only.*** <br />Project Number: 125-023 Project Name: WWTP Headworks Office Improvements <br />Total Bid <br />Bidder: Larson -Danielson Construction Co., Inc. Amount: 66,470.00 WBE Goal: 4.5% <br />Page 1 of 1 <br />Percentage <br />Name & Address of WBE Primary Contact Person Scope of Work to be Performed Dollar Amount of WBE of Total <br />(Name/Telephone) (Attach scope/schedule if you need additional space) Component Bid/Proposa <br />I <br />Performance Plus <br />2106 S. Franklin St. Joe Horst Final Cleaning 390.00 0.5% <br />South Bend, IN 46613 <br />SEE ATTACHED FORMS <br />FOR OTHER COMPANIES <br />SOLICITED <br />Submitted by Chad Becker, FSG Project Manager <br />Print Name Signature <br />***Goals should be calculated based on the Base Bid only.*** <br />Version 1/3/2025 Page - 22 Public Works Quote <br />August 12, 2025 <br />Date <br />