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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: 119409R Project Name: CNG Compressor Upgrade <br />Bidder: KW Services LLC Total Bid Amount 1, 5 4 5 , 0 0 0 . 0 0 WBE Goal 1 . 61 % <br />Page__I_of k <br />Name &Address of WBE <br />Primary Contact Person <br />(NamefTelephone) <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 />Bidri'ro anal <br />Core Bore In. LL <br />20061 Dice St. <br />South Bend, IN <br />Dan Connors <br />269.479.925 <br />Earthwork <br />3 <br />25,00.00 <br />1.620 <br />Submitted by: Anthony J . <br />Print Name <br />Maloney I <br />5ignat re <br />***Goals should be calculated based on the Base Bid only.' <br />CNG Compressor Upgrade <br />Project No. 119-109R Contractor's Bid for Public Works - 9 Version 07/19/2023 <br />6/11/2024 <br />Date <br />