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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 P <br />the bidder's sole responsibility to verify whether any listed minority-owned business meets the MBE <br />Project Number: <br />Bidder: <br />121-061R <br />BPI -Base Bid MBE Goal: 0.3% <br />Project Name: Ward Bakery Exterior <br />Total Bid Amount: <br />A/6 <br />Rpm J.� <br />g MBE participation. It is <br />MBE Goal: 0.3% <br />Page of <br />Name & Address of <br />MBE <br />Primary Contact Person <br />(Namerrelephone) <br />Scope of Work to be erformad <br />(Attach scope/schedule if yo .deed additional space) <br />Dollar Amount of <br />MBE Component <br />Percentage of <br />Total BidlProposal <br />z <br />Base Bid MBE Totals <br />BPI -Alternate 1-1 MBE Goal: 0.3% <br />Name & Address of <br />MBE <br />Primary Contact Person <br />(NamefTelephone) <br />Scope of Work to be Performed <br />ttach scopetschedule if you need additional space) <br />Dollar Amount of <br />MBE Component <br />Percentage of <br />Total Bid/Proposal <br />�a <br />B <br />Alternate 1-1 MBE Totals <br />Vel <br />for Public Works — 9.1 <br />