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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 <br />is the bidder's sole responsibility to verify whether any listed minority or woman business meets the MBE qualifications. <br />Project Number: 123-049 Project Name: SBFD Parking Lot Rehab <br />Bidder: Rieth-Riley Total Bid Amount: $ 96,821.00 MBE Goal: 4.3% <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 />Pt Class Logistics <br />2213 St Charles Ave <br />South Bend, IN 46614 <br />Bemard Coutee <br />574-993-0071 <br />1 st:c .ss3 g ._ . <br />c gMg corn <br />Trucking, hauling <br />$49170.00 <br />4.31 % <br />Submitted by: Derek Sauer <br />Print Name <br />Version 03/15/2023 <br />518/23 <br />?/J,I, <br />Skfnature Date <br />Page - 25 <br />Public Works Quote <br />