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�1'I11 R <br />C, <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: 122-061 Project Name: Mar -Main Apartments Roof Replacement <br />Bidder: Slatile Roofing & Sheet Metal Co., Inc. Total Bid Amount: 434,812.00 MBE Goal: 0.6% <br />Page of <br />Name 8 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 />ofTolal <br />Bid/Proposal <br />JMH Roofing Company, Inc. <br />1219 E. 9th Street <br />Indianapolis, IN 46202 <br />Jerilyn Huntington <br />317-605-2789 <br />Materials Supplied <br />$8,696.00 <br />2% <br />Submitted by: Gerald Longerot January 24, 2023 <br />Print Name S—ig—rolrure I Date <br />Version 09/29/2021 Contractor's Bid for Public Works - 8 <br />