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This completed form should be supplied with Bir:ls 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: 122-001 Project Name: 2022 Curb ani <br />Bidder: Rieth-Riley Construction _ Total Bid Amou <br />Division 1 — MBE Goal: 3.0% <br />alk Construction — Rou <br />o V/ �6�.20 <br />Division 1 Bid Amount: f q 14/ 5 Z �-0 <br />2 pages <br />Name & Address of MBE <br />Primary Contact Person <br />CITY OF SOUTH BEND'S <br />Dollar Amount of MBE <br />MINORITY AND %JVOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />u" <br />FORM MBE -1.0 <br />(Attach scope/schedule if you need additional space) <br />Component <br />Bid/Proposal <br />MBE UTILIZATION PLAN <br />Bernard Coutee <br />574-993-0071 <br />This completed form should be supplied with Bir:ls 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: 122-001 Project Name: 2022 Curb ani <br />Bidder: Rieth-Riley Construction _ Total Bid Amou <br />Division 1 — MBE Goal: 3.0% <br />alk Construction — Rou <br />o V/ �6�.20 <br />Division 1 Bid Amount: f q 14/ 5 Z �-0 <br />2 pages <br />Name & Address of MBE <br />Primary Contact Person <br />Scope of Work to be Performed <br />Dollar Amount of MBE <br />Percentage <br />of Total <br />(Name/Telephone) <br />(Attach scope/schedule if you need additional space) <br />Component <br />Bid/Proposal <br />1 st. Class Logistics <br />Bernard Coutee <br />574-993-0071 <br />Trucking <br />700 <br />South Bend, IN <br />( <br />�6 <br />Division 2 — MBE Goal: 3.0% Division 2 Bid Amount: 7c) <br />Name & Address of MBE <br />Primary Contact Person <br />Scope of Work to be Performed <br />Dollar Amount of MBE <br />Percentage <br />of Total <br />(Name/Telephone) <br />(Attach scope/schedule if you need additional space) <br />Component <br />Bid/Proposal <br />1st. Class Logistics <br />South Bend, IN <br />Bernard Coutee <br />574-993-0071 <br />Trucking <br />fA <br />3 <br />3 ! �� <br />�6 <br />Version 09/29/2021 Contractor's Bid fr_ir Public Works - 12 <br />