Opening of Bids - 2022 Curb and Sidewalk, Round I Proj No. 122-001 - Premium Concrete Services, Inc.

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MBE UTILIZATION PLAN This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects involving MBE participation. It is the bidder's sole responsibility to verify whether any listed minority-owned business meets the MBE qualifications. Project Number: 122-001 Project Name: 2022 Curb and Sidewalk Construction - Round 1 Bidder: (PRErcttti,� ? C&OC AM Total Bid Amount: $ -39 3 2 pages Division 1 - MBE Goal: 3.0% Division 1 Bid Amount: No W-4-0 Name &Address of MBE Primary Contact Person (Name/Telephone) Scope of Work to be Performed (Attach scope/schedule if you need additional space) p,�pUTH\\ CITY OF SOUTH BEND-?, MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN`_.; I i FORM MBE -1.0 j MBE UTILIZATION PLAN This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects involving MBE participation. It is the bidder's sole responsibility to verify whether any listed minority-owned business meets the MBE qualifications. Project Number: 122-001 Project Name: 2022 Curb and Sidewalk Construction - Round 1 Bidder: (PRErcttti,� ? C&OC AM Total Bid Amount: $ -39 3 2 pages Division 1 - MBE Goal: 3.0% Division 1 Bid Amount: No W-4-0 Name &Address of MBE Primary Contact Person (Name/Telephone) Scope of Work to be Performed (Attach scope/schedule if you need additional space) Dollar Amount of MBE Component Percentage of Total Bid/Proposal (Name/Telephone) (Attach scope/schedule if you need additional space) Component Bid/Proposal Division 2 - MBE Goal: 3.0% Division 2 Bid Amount: Nc) 2 Name &Address of MBE Primary Contact Person Scope of Work to be Performed Dollar Amount of MBE Percentage of Total (Name/Telephone) (Attach scope/schedule if you need additional space) Component Bid/Proposal Version 09/29/2021 Contractor's Bid for Public Works -12