Laserfiche WebLink
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 />122-028 <br />Project Name: <br />2022 Street & Sewer Material Bid <br />Total Bid Amount: <br />MBE Goal: NIA <br />Page of <br />Name & Address of MBE <br />115 I11 �fA. <br />Scope of Work to be Performed <br />(Attach scope/schedule ifyou need additional space) <br />Dollar Amount of MBE <br />component <br />CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />_ <br />FORM MBE -1.0 <br />„- <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 />122-028 <br />Project Name: <br />2022 Street & Sewer Material Bid <br />Total Bid Amount: <br />MBE Goal: NIA <br />Page of <br />Name & Address of MBE <br />Primary Contact Person <br />(Namefrelephone) <br />Scope of Work to be Performed <br />(Attach scope/schedule ifyou need additional space) <br />Dollar Amount of MBE <br />component <br />Percentage <br />of Total <br />BidlPra oral <br />Submitted by: <br />Print Name Signature <br />Version 0912 912 02 1 Contractor's Bid for Public Works - 13 <br />Date <br />