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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM MBEA.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: 122-061 <br />Project Name: Mar -Main Apartments Roof Replacement <br />Bidder: Midland Eno-ineerin6 Company, Inc. Total Bid Amount: $440,600.00 MBE Goal: 0.6% <br />Page 1 of 1 <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 />JMH Roofing <br />1115 E. 9th Street <br />Indianapolis, IN 46202 <br />Jim Huntington <br />Material Supplier <br />$2,644.00 <br />0.6% <br />Submitted by: Michael W. Frahn, CPA President/CEO <br />Print Name <br />Signature <br />Version 09/29/2021 Contractor's Bid for Public Works - 8 <br />Date <br />1/24/23 <br />