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CITY OF SOUTH BEND f . <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM MBE4.0 h <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 verily whether any listed minority -owned business meets the MBE qualifications. <br />Project Number: 121-0068 Project Name: <br />Bidder: HRP Construction Inc. <br />SOUTH BEND 2021 DRAINGE IMPROVEMENTS — BID B DIVISION 1 BEALE ST <br />Total Bid Amount: $ 171,378.50 MBE Goal: 2.3% <br />Paae 1 of 1 <br />Name &Address of MBE <br />Prima Contact Person <br />(Name/Telephone) <br />Scope of Work to be Performed <br />p <br />(Attach scopetschedufe if you need additional space) <br />Dollar Amount of MBE <br />Component <br />Percentage <br />of Total <br />BWPro oral <br />V & R Trucking, Inc. <br />1845 N. Elmer Street <br />South Bend, IN 46628 <br />Veda Godette <br />574-234-1268 <br />HourlyTrucking <br />g <br />$ 4,000.00 <br />o <br />2.3 /o <br />I <br />Submitted by: <br />Version 09/29/2021 <br />Matthew D. Cain, President May 9, 2023 <br />Print Name Signature Date <br />Contractor's Bid for Public Works -10 <br />