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CITY OF SOUTH BEND <br />Primary Contact Person <br />(Name/Telephone) <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />Dollar Amount of MWBE <br />Component <br />FORM MWBE-1.0 <br />U <br />x.,... <br />MWBE UTILIZATION PLAN <br />. 1865 <br />This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects involving MWBE participation. It <br />is the bidder's sole responsibility to verify whether any listed minority or woman business meets the MWBE qualifications. <br />Project Number: 120-052R Project Name: <br />Bidder: Rieth-Riley Construction Co. Inc <br />Mayflower Road and Sample Street Traffic Improvements <br />Total Bid Amount: $357-68_50 MBE Goal: 2.3% <br />Page 1 of 1 <br />Name & Address of MWBE <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 MWBE <br />Component <br />Percentage <br />of Total <br />Bid/Proposal <br />V&R Trucking Inc. <br />1845 N. Elmer St <br />South Bend, IN 46628 <br />Veda L. Godette$119000 <br />574-234-1268 <br />Trucking <br />3®/0 <br />Submitted by: <br />Print Name <br />June 22, 2021 <br />Signature Date <br />Version 01/13/2021 Contractor's Bid for Public Works - 10 <br />