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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <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: <br />Bidder: <br />120-046 <br />Project Name: Traffic Signal Detection Improvements <br />TGB Unlimited, Inc. (dba) SIT Bancroft Electric Total Bid Amount: <br />MBE Goal: 1.6% <br />Page 1 of 1 <br />Primary Contact Person I Scope of Work to be Performed I Dollar Amount of MBE ' TQr— <br />Name & Address of MBE (Namerrelephone) (Attach scope/schedule if you need additional space) Component ` of oOTot —1 <br />Master Enterprises <br />4195 Millersville Rd, <br />Indianapolis, IN 46205 <br />r <br />Darrin Orr Supply Signal Equipment <br />Submitted by: Gene Mann <br />Print Name Signature <br />Version 08/25/2021 Contractor's Bid for Public Works -13 <br />25,239.60 <br />10-26-2021 <br />Date <br />10.42% <br />