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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM MWBE-1.0 V •' `• <br />771G5 <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 <br />is the bidder's sole responsibility to verify whether any listed minority or woman business meets the MBE qualifications. <br />Project Number: <br />Bidder: <br />120-009 <br />Project Name: Dubail Avenue Streetsc <br />HRP CONSTRUCTION INC. Total Bid Amount: $1,994,594.00 <br />MBE Goal: 3.1% <br />Page 1 of—1 <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 & R Trucking, Inc. <br />1845 Elmer Street <br />South Bend, IN 46628 <br />Veda Godette <br />(574) 234-1268 <br />Trucking <br />$62,000.00 <br />3.1% <br />Submitted by: <br />Matthew D. Cain, President <br />Print Name <br />aignature= <br />Version 01/13/2021 Contractor's Bid for Public Works - 11 <br />August 10, 2021 <br />Date <br />