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�o �urx BF��, <br />CITY OF SOUTH BEND s <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN e\"_^tet az' <br />FORM MBE -1.0 xr <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 />121-061 <br />Project Name: Ward Bakery Exterior Improvements <br />Bidder: SLATILE ROOFING & SHEET METAL COMPANY, INC. Total Bid Amount: <br />MBE Goal: <br />Page of <br />Name &Address of MBE <br />Primary Contact Person <br />Scope of Work to be Performed <br />Dollar Amount of MBE <br />Percentage <br />of Total <br />(Name/Telephone) <br />(Attach scope/schedule if you need additional space) <br />Component <br />Bid/Proposal <br />pp <br />C®u'I-e-e- <br />a.w �V -A; <br />C 64LrteNJ <br />S7 4- 5rq-o I <br />cN PL <br />Submitted by: GERALD LONGEROT <br />Print Name nature <br />Version 08/25/2021 Contractor's Bid for Public Works - 10 <br />OCTOBER 26, 2021 <br />Date <br />