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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 />121-029a Project Name: <br />The Robert Henry Corporation <br />Morris Performing Arts Center - Main Level Slab Replacement <br />Total Bid Amount: 3� )13%a f )108 .to MBE Goal: 1.8% <br />Page of <br />Primary Contact Person Scope of Work to be Performed Dollar Amount of MBE Percentage <br />Name & Address of MBE (Name/Telephone) (Attach scope/schedule if you need additional space) Component of Total <br />Bid/Pronosa <br />1st Class Logistics, LLC Bernard Coutee Trucking <br />2213 St. Charles Ave. 574-993-0071 <br />South Bend, IN 46614 <br />Submitted by: Brian S. Henry, President Tuesday, December 14, 2021 <br />Print Name Sig a ure Date <br />Version 09/29/2021 Contractor's Bid for Public Works - 8 <br />