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iii •. I'. _ <br />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 or woman business meets the MBE qualifications. <br />Project Number: <br />Bidder: <br />121-037 Project Name: 100 S Michigan Tree Grates <br />Acorn Landscaping LLC <br />Total Bid Amount: 101,244.36 MBE Goal: 1.6% <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 and R Trucking <br />1845 N. Elmer St. <br />South Bend, IN 46628 <br />Veda L. Godette <br />Trucking of Demo Material <br />$ 2,080.00 <br />a <br />2.05/o <br />Submitted by: Jeff Ritschard <br />Print Name <br />Signature <br />October 25, 2021 <br />Date <br />Version 09/29/2021 Page - 27 Public Works Quote <br />