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e <br />( 24 <br />CITY OF SOUTH BEND _ }ai <br />MINORITY AND WOMEN BUSIN FSS ORM TERPIRI E INCLUSION PROGRAM PLAN <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 />Ik C nstruction <br />Project Number: <br />Bidder: <br />Division 1 — WBE Goal: <br />Name & Address of WBE <br />�O\\0 Nucce�ecr(���[ll <br />124-009 Project Name: 2024 Curb and Sldewa o <br />Total Bid <br />yNID ^ Amount: rF p, <br />4.90% Division 1 Bid Amount: a \0 '1�—�—�0 <br />Primary Contact Person <br />(Namelrelephone) <br />TV;i.-S SO -03g <br />Scope of Work to be Performed <br />(Attach scope/schedule If you need additional space) <br />�1nCC f wcc S.-\Tt WOC\( <br />bgso:� ase�.r�. <br />Version 03115/2024 Contractor's Bid for Public Works - 14 <br />Dollar Amount of WBE <br />Component <br />3 pages <br />1 10 <br />