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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 />BPI -Alternate 1-2 MBE Goal: 0.3% <br />Name & Address of Primary Contact Person <br />MaE <br />(Name/Telephone) <br />BPI -Alternate I-3 MBE Goal: 0.3% <br />Name & Address of Primary Contact Person <br />MBE <br />— (Name/Telephone) <br />Submitted by: <br />Print Name <br />Scope of Work to be Performe�— <br />(Attach s <br />jc <br />coope/schedule if you need Ormeonal space) <br />Scope of Wod( to be -Pe rform,,d <br />(Attach scope/schedule if you neJIlonal space) <br />Version 10/18/29 <br />Contractor's Bid for Public Works — 9.2 <br />t • 4 <br />Date <br />DOIIarAmoUnlor[ On <br />MBB L'om onent Percentage of <br />P Total aid/Proposal <br />Dollar Amount of <br />MBE Com Percentage of <br />ponent Total Bid/Proposal <br />