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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 />123-032 <br />Project Name: <br />Bidder: Selge Construction Co., Inc. <br />Name & Address of WBE Primary Contact Person <br />(Name/Telephone) <br />BUC Construction Supply Teresa Butler <br />PO Box 4153 765-412-3484 <br />Lafayette, IN 47903 <br />Submitted by: <br />Justin Butler, Vice President <br />Print Name <br />CSO 022 Structure Improvements Project <br />Total Bid Amount: $3,510,520.50 WBE Goal: 3.52% <br />Page 1 of 1 <br />Scope of Work to be Performed <br />(Attach scope/schedule if you need additional space) <br />Pipe & Fittings <br />Sig <br />***Goals should be calculated based on the Base Bid only.*** <br />Version 07/19/2023 Contractor's Bid for Public Works - 9 <br />Dollar Amount of WBE Percentage <br />Component of Total <br />$123,570.33 1 3.52% <br />June 11, 2024 <br />Date <br />