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.1,A .111 ji" <br />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: 122-030 Project Name: Studebaker Museum Roof Repairs <br />Bidder: Slatile Roofing & Sheet Metal Co., Inc. Total Bid Amount: 232,812.00 MBE Goal: 0.6% <br />Page of <br />Name & Address of MBE <br />Primary Contact Person <br />Name/Tele hone <br />( phone) <br />Scope of Work to be Performed <br />(Attach scope/schedule if you need additional space) <br />Dollar Amount of MBE <br />Component <br />Percentage <br />of Total <br />Bid/Proposal <br />JMH Roofing Company, Inc. <br />1219 E. 9th Street <br />Indianapolis, IN 46202 <br />Jerilyn Huntington <br />317-605-2789 <br />FurnishSheet Metal Materials: 24 GA Kynar 4'X'10 <br />Sheets <br />$3,914.00 <br />Submitted by: <br />4Sfgnature <br />Version 09/29/2021 Contractor's Bid for Public Works - 8 <br />June 14, 2022 <br />Date <br />