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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN PEnCE <br />FORM WBE-1.0 <br />ItlliS # <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 />Bidder: <br />R124-032A <br />Project Name <br />1�Lidland Engineering Company, Inc. <br />Central Fire Station Re-roofin <br />Total Bid Amount: ssso,soo.00 <br />WBE Goal: 2.1 <br />Page 1 of 1 <br />Name & Address of WBE <br />Primary Contact Person <br />(Name/Telephone) <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 />Bid/Proposal <br />JMH Roofing Company, Inc. <br />1215 E.9th Street <br />Indianapolis, Indiana 46202 <br />Jeri Hunington <br />317-423-9035 <br />Material Supplier <br />$44,000.00 <br />5.00o <br />Submitted by: <br />Ryan J. Haas/President/CEO <br />Print Name <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 />11-26-2024 <br />Date <br />