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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 Bid only.*** <br />Project Number: 124-064 Project Name <br />Bidder: Ritschard Bros., Inc. <br />Demolition of 215 Johnson Street <br />Total Bid <br />Amount: $111, 715.00 WBE Goal: 5.59% <br />Paqe 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/Proposa <br />I <br />Ritschard Bros., Inc. <br />1204 W. Sample Street <br />South Bend, IN 46619 <br />Rachelle Dolniak <br />574-288-4777 <br />Demolition and Earthwork <br />$69,238.00 <br />61% <br />Submitted by: Rachelle L. Dolniak <br />Print Name <br />***Goals should be calculated based on the Base Bid only.*** <br />Version 3/15/2024 Page - 27 Public Works Quote <br />3/25/2025 <br />Date <br />