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x ifi , <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: 121-066 Project Name: Martin Luther King Jr. Demolition <br />Bidder: Green Demolition Contractors, Inc Total Bid Amount: <br />MBE Goal: 1.4% <br />Page 1 of 1 <br />Name &Address of MBE <br />Primary Contact Person <br />(Namerrelephone) <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 />Trucks R Us / Kennedy <br />Expressline <br />23300 IN -23 <br />South Bend, IN 46601 <br />K. Johnson <br />574-340-8471 <br />Trucking and Hauling <br />$7,976.00 <br />2% <br />1 <br />Submitted by: Michael J. <br />Print Name <br />President <br />Version 09/29/2021 Contractor's Bid for Public Works - 8 <br />13 -December -2022 <br />Date <br />