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CITY OF SOUTH BEND ' <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN ray. <br />FORM MBE -1.0 <br />This cMBE UTILIZATION PLAN as <br />ompleted 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: 121-06111 Project Name: Ward Bakery Exterior Improvements — Bid Package 1 Mason <br />Bidder: tA C7 e ems! 5 tt.y�.�, �w Totai Bid Amount: ?' J 184 pd' <br />MBE Goal: 0.3% <br />BPI -Base Bid MBE Goal: 0.3% Page_J_of <br />Name & Address of Primary Contact Person <br />MBE (Name/Telephone) Scope of Work to be Performed DollarAmount of Percentage of <br />(�khocopacse/schedule if you need additional space) MBE Component Total Bid/Proposal <br />KM <br />v X <br />Base Bid MBE Totals <br />BP1-Alternate 1-1 MBE Goal: 0.3% <br />Name & Address of Prima y Contact Person <br />MBE _ (Name/Telephone) Scope of Work to be Performed Dollar Amount of Percentage of <br />(Attach scope/schedule if you need additional space) <br />MBE Component Total Bid/Proposal <br />A ✓,Cxx�- PiLoj ,141 <br />Version 10/18/21 1 Contractor's Bid for Public Works — 9.1 <br />