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CITY OF SOUTH BEND' +�\` <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN�cou, <br />FORM WBE-1.0-j <br />WBE UTILIZATION PLANjr}7 <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: 122-059R Project Name: Angela Boulevard Roadway Improvements <br />Bidder: Rieth-Riley Construction Co., Inc. Total Div 2 Amount: ��?35. 9­�O. 1 7 WBE Div 2 Goal: 5.688 <br />Page 1- 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/Proposal <br />i33 Qn 42V4 iu <br />t <br />, <br />3 (7- &(-l(- W3GLf <br />✓ <br />CT�i IlWt <br />(� <br />co�_ 41 S" <br />1<r� 14-4cwliv <br />TrkEL--t� <br />ZZo7 11/1o� <br />Z'CeV..3Q-- 7fa3Z <br />`Jf�.,Sscr-`s Grp, Tk" <br />Zl'v <br />�vu <br />S L(-7ZZ <br />Submitted by: <br />Derek Sauer <br />Print Name <br />Signature <br />***Goals should be calculated based on the Base Bid only.*** <br />October 24, 2023 <br />Date <br />