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o�Souix aFtio <br />CITY OF SOUTH BEND U� o <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM WBE-1.0 _ <br />% x <br />WBE UTILIZATION PLAN 1865 <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 />124-001A Project Name: South Bend - SBCSC Administration Building - Elevator Replacement <br />R. Yoder Construction, Inc. Total Bid Amount: <br />WBE Goal: 5.0 <br />Page 1 of 1 <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 />N/A <br />Submitted by: Jason Yoder Q,-, (��_ <br />Print Name Signature <br />***Goals should be calculated based on the Base Bid only.*** <br />Version 03/15/2024 Contractor's Bid for Public Works - 9 <br />05/28/2024 <br />Date <br />