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yx,rir <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: 123-030 Project Name: 'The Hill' TIF P act — Site Work <br />Bidder: The Robert Henry Corporation Total Bid Amount: $650,000.00 MBE Goal: 2.0% <br />Name S, Address of MBE <br />1 st Class Logistics <br />2213 St Charles Ave <br />South Bend. IN 46614 <br />Primary Contact Person <br />(Name/Telephone) <br />Bernard Coutee <br />Page 1 of <br />Scope of Work to be Performed Dollar Amount of MBE Percentage <br />(Attach scope/schedule if you need additional space) Component Of Total <br />BidlPro set <br />Trucking <br />574-993-0071 <br />$15,000.00 12.31 % <br />Submitted by: Brian S. Henry, President i�� May 91h, 2023 <br />Print Name Signature Date <br />Version 09/29l2021 Contractor's Bid for Public Works - 8 <br />