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CITY OF SOUTH BEND I `' <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN,."' <br />FORM WBE-1.0 <br />WBE UTILIZATION PLAN- <br />leted form should be supplied with Bids that pertain to City of South Bend Public Works Projects involving WBE participation. It <br />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 Bid only.*** <br />Project Number: 124-020 Project Name: Studebaker Museum HVAC Replacement <br />Total Bid d _ <br />Bidder: dwc-d ../ i�ti•iei Inc. Amount: (eq 1-4&5 WBE Goal: <br />Page of <br />Name & Address of WBE <br />Primary Contact Person <br />(Name,7elephone) <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 />BidlProposa <br />Submitted by: J z: t� 1'�CANC i f I o L Li` > <br />Print Name Si ature Date <br />***Goals should be calculated based on the Base Bid only.*** <br />Version 3115/2024 Page - 21 Public Works Quote <br />wcRy— tS SELF- C R-P- -tL SODPuEJ'2- CrC-) js NOT A LOSE• <br />F_QEJt� EST IS Iti Sect_ Aar �T-r-(2- :50 GE1 FtZEi LA)3E_ &-rlAE'„ <br />