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d, <br />CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM MWBE-1.0 <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 />121-014 <br />Project Name: 2021 Community Crossings Round 1 <br />Rieth-Riley Construction Co.. Inc Total Bid Amount: <br />$1,368,995.90 <br />MBE Goal: 4.1% <br />Page 1 of 1 <br />Name & Address of MBEI <br />Primary Contact Person <br />(Name/Telephone) I <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 />574-234-1268 <br />Trucking / Hauling <br />$56,161.00 <br />4.100 <br />Submitted by: Ruben Alvarado l May 11, 2021 <br />Print Name Signature Date <br />Version 01/13/2021 Contractor's Bid for Public Works - 17 <br />