Laserfiche WebLink
O <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 or woman business meets the MBE qualifications. <br />Project Number <br />Bidder: <br />122-060B <br />Project Name: Century Center Parking Lot Seal and Stripe <br />tpl�,t, r u/va/aE ,t rTotal Bid Amount: <br />MBE Goal: 4.3% <br />Page of <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 />Submitted by: p J <br />Print Name <br />Signature <br />-3 -14-7-3 <br />Date <br />Version 06/01/2022 Page - 22 Public Works Quote <br />