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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: <br />Bidder: <br />122-059R <br />Project Name <br />Rieth-Riley Construction Co., Inc. <br />Angela Boulevard Roadway Improvements <br />Total Div 1 Amount: j! z 53, 517. 83 WBE Div 1 Goal: 5.401 <br />Page �L of I <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/Proposal <br />7XV& <br />��,�� � <br />:1(.� <br />rz , ,3r �v <br />o <br />13 -� ar~ Perk 4 <br />L a38 <br />3 <br />zyt <br />IZ5 Mnk St. <br />5 {-,ZZ -3(6� <br />S3i SS <br />Lo 4ets Tm ` o `f <br />Submitted by: Derek Sauer <br />Print Name <br />��IjL <br />ignature <br />***Goals should be calculated based on the Base Bid only.*** <br />October 24, 2023 <br />Date <br />