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CITY OF SOUTH BEND < Z. <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM WBE-1.0 <br />WBE UTILIZATION PLAN <br />his completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects involving WBE participation. It is <br />ie 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 124-051 CC Project Name 2024 Neighborhood Services & Enforcement Demolitions <br />3idderBase Bid Amount� WBE Goal: 4.5% <br />P age__L—of <br />Name & Address of WBE <br />Primary Contact Person <br />(Name/Telephone) <br />Scope of },Work to be Performed Dollar Amount of VVBE Percentage <br />(Attach scope/schedule if you need additional space) Component of Total <br />Bid/Proposal <br />�02G3^ <br />-7 <br />i <br />Submitted by'. All 1 l- <br />Print ame Sign <br />,,aiture Date <br />**wGoals should be calculated based on the Base Bid only. �w <br />arsion 07/19/2023 Contractor's Bid for Public Works - 10 <br />