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!THe�� <br />CITY OF SOUTH BEND 1�F® <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 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 />124-022 <br />Project Name: <br />Bidder: Tarkett Sports Construction - Central, LLC <br />VPA LEEPER COURT RECONSTRUCTION <br />Total Bid Amount: 12^_, 15s, g7o.00 WBE Goal: 4.08% <br />Page of <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 />Javelina Construction <br />13376 Britton Park Rd <br />Fishers, IN 46038 <br />John Mills <br />(317)223-3456 <br />Asphalt Milling/Demo <br />$18,509.54 <br />�5�6 <br />Submitted by: <br />Jake Jackson <br />Print Name Si natur <br />***Goals should be calculated based on the Base Bid only.*** <br />Version 1/3/2025 Contractor's Bid for Public Works - 14 <br />5/13/2025 <br />Date <br />