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r <br />CITY OF SOUTH BEND f 1 <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN Irk <br />"1' ' rj <br />FORM MBE -1.0' <br />MBE 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-owned business meets the MBE qualifications. <br />Project Number: 120-046 Project Name: <br />Bidder: Hawk Enterprises, Inc. <br />Name & Address of MBE Primary Contact Penson <br />(Namelrelephone) <br />Master Enterprises <br />P.O. Box 18523 Ronald L. Orr <br />Indianapolis, IN 46218 <br />Submitted by: <br />Johanna Plank, President <br />Print Name <br />Traffic Signal Detection Improvements <br />Total Bid Amount: $171,915.00 MBE Goal: 1.6% <br />Page of <br />Scope of Work to be Performed Dollar Amount of MBE Percentel <br />(Attach scopetschedule if you need additional space) Component Ior Total <br />Rir�IDnnnr. <br />Supply Signal Mast Arm <br />Sig re <br />Version 08/25/2021 Contractor's Bid for Public Works -13 <br />$2,007.60 1 1.2% <br />10/26/2021 <br />Date <br />