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CITY OF -SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLANe.' ^%x <br />FORM MWBE-1.0 <br />MWBE 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 minority or woman business meets the WBE qualifications. <br />Project Number: <br />Bidder: <br />121-049 Project Name: _2021 Contractor Paving Round 3 <br />Rieth-Riley Construction Co., Inc. Total Bid Amount: �1 e% 70 3.2q- q0 WBE Goal: 6.0% <br />Page I 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 <br />of Total <br />Bid/Pro osal <br />S��c.. RgrroE��i�i <br />,ias.vs NiiCh�ts <br />i i rode �onrfrol <br />a �, I'�g• 00�• <br />. q?do3 VS a8 Mr4.,"x'74/,2914,9079 <br />93 / <br />sovo% IN clGG 7? <br />M" fitvmt,�, o nvckj. nt. <br />(Oak O <br />43M Mooec <br />-'revcki eL <br />�d. ®a. as <br />5.077. <br />2:10-1- k/e$i�'' <br />.Pts ®• f t . 7 <br />r <br />F•o+ hl 1A1 <br />Submitted by: <br />Ruben Alvarado <br />Print Name <br />C <br />August 10, 2021 <br />Si nature Date <br />Version 01/13/2021 Contractor's Bid for Public Works -11 <br />