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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: --12--1-061R Project Name- Ward Bakery Exterior Im movements — Bid Package 2 Windows -Doors -Storefront <br />Bidder: pie. $ <br />Total Bid Amount: /, f "" MBE Goal: 3.4% <br />Page of <br />BP2-Base Bid MBE Goal: 3.4% <br />Name & Address of <br />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 <br />MBE Component <br />Percentage of <br />Total Bid/Proposal <br />p <br />E .:; M11 S <br />9"001 <br />(/t?oz. '� Pr^ <br />0 <br />C <br />1. <br />Base Bid MBE Totals <br />BP2-Alternate 2-1 MBE Goal: 3.4% <br />Name & Address of <br />M�,�B^,v�E <br />Primary Contact Person <br />(Namerrelephone) <br />Scope of Work to be Performed <br />(Attach scopetschedule if you need additional space) <br />Dollar Amount of <br />MBE Component <br />Percentage of <br />Total SidlProposal <br />(�r <br />} Al/00z) <br />^ <br />� <br />Alternate 2-1 MBE Totals <br />Version 10118/21 Contractor's Bid for Public Works —10.1 <br />