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CITY OF SOUTH BEND l <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: <br />Bidder: <br />125-038 Project Name: Demolition of 4022 Old Cleveland Road <br />Total Bid <br />Green Demolition Contractors Amount: $39,800.00 WBE Goal: 4.7% <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/Proposa <br />I <br />The San Corporation <br />1112 E. Summit Street <br />Crown Point, IN 46307 <br />Sandy Smith <br />(219) 309-4915 <br />Trucking & Hauling <br />$1,990.00 <br />5% <br />/ Submitted by: Michael J. Brough June 23, 2025 <br />Print Name Signa re Date <br />'Goals should be calculated based on the Base Bid only.**" <br />Version 3/15/2024 Page - 87 Public Works Quote <br />