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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 />120-024 Project Name: Howard Street and Corby Boulevard Streetscape Improvements <br />Rieth-Riley Construction Co., Inc. Total Bid Amount: $ 6 8 3, 9 7 4 . 0 0 MBE Goal: 3.1% <br />Page 1 of 1 <br />Name & Address of MBE <br />verr` <br />CITY OF SOUTH BEND <br />Dollar Amount of MBE <br />Component <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />V&R Trucking, Inc. <br />FORM MWBE-1.0 <br />x - x <br />MWBE UTILIZATION PLAN <br />18tiy <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 />120-024 Project Name: Howard Street and Corby Boulevard Streetscape Improvements <br />Rieth-Riley Construction Co., Inc. Total Bid Amount: $ 6 8 3, 9 7 4 . 0 0 MBE Goal: 3.1% <br />Page 1 of 1 <br />Name & Address of MBE <br />Primary Contact Person <br />(Namefrelephone) <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&R Trucking, Inc. <br />Veda L. Godette <br />Trucking / Hauling <br />$21,244.00 <br />3.10% <br />Submitted by: <br />Ruben Alvarado Z April 27, 2021 <br />Print Name Signature Date <br />Version 01/13/2021 Contractor's Bid for Public Works- <br />