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CITY OF SOUTH BEND 1 a- ; <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY <br />DEVELOPMENT PROGRAM' <br />FORM MWBE-1 0 <br />Lt. <br />MSE PARTICIPATION 18fi5 <br />This completed form should be supplied with Bids that pertain to City of South Bend Public 'Works Projects Involving MBE participation. It <br />is the bidder's sole responsibility to verify whether any listed minority or woman business meets the qualifications of a Minority owned <br />business. <br />Project Number: <br />Bidder, <br />120-044 <br />Project Name: . ignition Park:. EV Charging Park <br />RiethrRiley Construction Co., Inc. Total Bid Amount: <br />MBE Goal: 2.4% <br />Page._ _�1 0-�__�_. <br />Name &Address of MBI=lUVBB <br />Primary Contact Person <br />(Name/Telephone) <br />Scope of Work to be Performed <br />(Attach scope(schedule if you need additional spans) <br />Dollar Amount of <br />MBENVBE Component <br />Percentage <br />of Total <br />gld/pra osat <br />Hawk Enterprises Inc <br />1850 E North St, <br />Crown Point, IN 46307 <br />Greg Lowe <br />219-662-8090 <br />Electrical <br />Items, 1, 16,17,18,19,20,21,22,23,24,25,26,31,32,33 <br />$53,063.75 <br />14% <br />___ Submitted by:__R.ubera..AlvaracLo....Sal.es...M.an.ag.er_..._-.., .._. _..,. �,...__ ._.... _ __........___,_...._..._.,.___�.�._.,...,11Aarch.,..9..2.Q2'l-._..._..___...__.......�... <br />Print Name Signature Date <br />Version 41212019 Contractor's Bid for Public works - 9 <br />