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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAID <br />FORM M BE-1,0 <br />MWBE UTILIZATION PLAN <br />This completed form should be suppiled with Bids that pertain to City iDf South 13end Public Works Projects Invoiving MVVBB parb6pation. It <br />Is the bidder's sole reepor' sibl11 1t to verity whether any listed minorlty or woman business meets the MWBE qualifications. <br />Projeo1 Number- 123-023 <br />Proleo'l Name-, 2023 Microsurfacing -- <br />Bidder. Total Bid Amount; MWBE Goa]' NA <br />Page of <br />Name & Addrel5 of ~E <br />P r ms ry Co�nr&ck P*rwn <br />(N■rn4dTe leoone) <br />S ■ oll Work to bo IN rformad <br />(AUch l .@ d ule if you no ed iddil ion-0 E ikpaob) <br />M mar A mourg of WWSE <br />i+gym pang ni <br />P r <br />a t To1a <br />S, d� pry -�a I <br />Slopialure <br />Date <br />Verslan V14 022 <br />Page - 16 <br />Public Works Qljote <br />