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.'of SpUST71 <br />CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN'' <br />FORM WBE-1.0 <br />_ 7NIi i <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 />Project Number: <br />Bidder: <br />123-054R <br />Project Name: Liberty Tower TIF Project — Parking Garage <br />Browning Chapman, LLC Base Bid Amount: 1,296,623.00 <br />WBE Goal: 4.5% <br />Page 1 of 1 <br />Name & Address of WBE <br />Primary Contact Person <br />Scope of Work to be Performed <br />Dollar Amount of WBE <br />Percentage <br />of Total <br />(Name/Telephone) <br />(Attach scope/schedule if you need additional space) <br />Component <br />Bid/Proposal <br />Safety Resources <br />Ian Stacks <br />Safety Compliance <br />$3,600.00 <br />0.27% <br />618 N. Davidson Street <br />317-871-8155 <br />Indianapolis, IN 46202 <br />CW Waste Services <br />Jacob Cook <br />Dumpster Services <br />$5,000.00 <br />0.38% <br />935 W. Troy Ave. <br />317-625-3886 <br />Indianapolis, IN <br />46225 <br />Submitted by: Allan Browning a &K Rv� M �_ <br />Print Name Signature <br />Version 09/29/2021 Contractor's Bid for Public Work - 10 <br />December 11, 2023 <br />Date <br />