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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 />ALTERNATE #2 MBE GOAL: 2.0% <br />Name & Address of MBE <br />Primary Contact Person <br />Scope of Work to be Performed <br />Dollar Amount of MBE <br />Percentage of Total <br />(Namej/Telephone) <br />(Attach scope/schedule if you need additional space) <br />Component <br />Alternate #2 Bid <br />�ia5s ✓.i �S��etd'c�€� <br />�5.ij,jtad'1 <br />� <br />ALTERNATE #2 MBE TOTALS <br />,0G <br />- X <br />Submitted by: <br />� -t r..d, k, S�wr <br />Print Name <br />ignature <br />Version 10/28/21 Contractor's Bid for Public Works - 12 <br />Date <br />