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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 jq11 <br />PLA <br />N <br />Division 3 — MBE Goal: 3.0% Division 3 Bid Amount: &itZ��•�i <br />Name & Address of MBE <br />Primary Contact Person <br />(Name/Telephone) <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 />1 st. Class Logistics <br />South Bend, IN <br />Bernard Coutee <br />574-993-0071 <br />Trucking <br />! <br />1 • LI <br />3 <br />Bid/Proposal <br />1 st. Class Logistics <br />South Bend, IN <br />Bernard Coutee <br />574-993-0071 <br />•40 <br />Z 700.o6 <br />�I <br />� JV `00 <br />Division 4 — MBE Goal: 2.0% Division 4 Bid Amount: # IqZ, 66 �•Vc) <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 />South Bend, IN <br />Bernard Coutee <br />574-993-0071 <br />Trucking <br />Z 700.o6 <br />�I <br />� JV `00 <br />Division 5 — MBE Goal: 2.5% Division 5 Bid Amount: LjL �' J t1 <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 />South Bend, IN <br />Bernard Coutee <br />574-993-0071 <br />Trucking <br />I ` f-33 <br />� JV `00 <br />Submitted by: G(4/1 -e tf -7-7/-22- <br />Print Name Signature Date <br />Version 09/29/2021 Contractor's Bid for Public Works - 13 <br />