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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: 121-036 Project Name: 2021 Demolitions COMBINED DIVISION A & B <br />Bidder: HRP CONSTRUCTION INC. Total Bid Amount: ' , - MBE Goal: 1.4% <br />BID PACKAGE ONLY INCLUDED ONE MBE1.0 FORM FOR BOTH DIVISIONS, PLEASE SEE SEPERATE FORMS FOR BREAK OUT <br />Page ' of <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 & R Trucking <br />1845 Elmer Street <br />South Bend, IN 46628 <br />Veda Godette <br />{ 574 234-1268 <br />Trucking <br />Submitted by: Matthew D. Cain, President (A Pxf V <br />Print Name Signature <br />Version 09/29/2021 Contractor's Bid for Public Works - 9 <br />November 23, 2021 <br />Date <br />