Laserfiche WebLink
�ywlra, - <br />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 <br />is the bidder's sole responsibility to verify whether any listed minority or woman business meets the WBE qualifications. <br />***Goals should be calculated based on the Base Quote only.*** <br />Project Number: 124-049 Project Name: 2024 Microsurfacing Quote <br />Total Bid <br />Bidder: Asp bgj+- Q-e 4►1 S VtC�SI Amount: WBE Goal: NIA <br />Lr~C Page of <br />Name & Address of WBE <br />Primary Contacl Person <br />(Namelrelephone) <br />Scope of Work to be Performed <br />(Attach scopelschedule if you need additional space) <br />gollar Amount of WBE <br />Component <br />Percentage <br />of Total <br />BidlProposa <br />I <br />Submitted by: <br />Print Name <br />Signature <br />Date <br />***Goals should be calculated based on the Base Quote only.' <br />Version 3/15/2024 Page - 23 Public Works Quote <br />Scanned wish CamScanner <br />