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�lt':I'lt 1 <br />\J , <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: 125-043A Project Name: Demolition of 921 Louise Street <br />Bidder: inn zAr7%, lyBase Bid Amount: 7/ �QQQ, Q WBE Goal: 4.60% <br />PageJ_of <br />Primary Contact Person Scope of Work to be Performed Dollar Amount of WBE Percentage <br />Name &Address of WBE of Total <br />(Name/Telephone) (Attach scope/schedule if you need additional space) Component Bid/Pro osal <br />TO��p � f/Q � _ t <br />fur 00 <br />Submitted by: - <br />Print Na e Signatur, Date <br />***Goals should be calculated based on the Base Bid only.*** <br />Version 07/19/2023 Contractor's Bid for Public Works - 9 <br />