Laserfiche WebLink
CITY OF SOUTH BEND d 4 <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM MWBE-1.0i4 �" x <br />Bess <br />MWBE UTILIZATION PLAN <br />This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects involving MBE participation. It is <br />the bidder's sole responsibility to verify whether any listed minority or woman business meets the MBE qualifications. <br />Project Number: <br />Bidder: <br />n4 �? Project Name: Ignition Park: EV Charging Park <br />(�-c - 1 i&ty-cam Cc s+nt ch fv-- Total Bid Amount: 4 -322 / i? O 3 . q t_ MBE Goal: 2.4% <br />120-044R <br />Page_L_of I <br />Name & Address of MBE <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 MBE <br />Component <br />Percentage <br />of Total <br />Bid/Proposal <br />,V Tr U-C,4 <br />5-7 - 23 0 ! Z,-9 <br />16/ OU0 <br />Submitted by: <br />Print Name <br />114,fA V6. <br />Signature <br />Version 01/13/2021 Contractor's Bid for Public Works - 10 <br />Date <br />