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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 is <br />the bidder's sole responsibility to verify whether any listed minority -owned business meets the MBE qualifications. <br />Project Number: 122-034 Project Name.- Fire Station #8 Replacement <br />Bidder: Brown & Brown General Contractors, Inc -Total Bid Amount: $3,948,000.00 MBE Goal: 3.4% <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 />JbL2 Signals and Lighting <br />Tanner Leibovitz <br />Materials supplied: light fixtures, generator, <br />4316 Technology Drive <br />(574)855-2251 <br />and electrical gear <br />$124,300.00 <br />South Bend, IN 46628 <br />JbL2 Signals and Lighting <br />Tanner Leibovitz <br />Materials supplied: light fixtures, generator, <br />4316 Technology Drive <br />(574)855-2251 <br />and electrical gear <br />$125,000.00 <br />South Bend, IN 46628 <br />Submitted by: � N �0✓�2��G 7_1`%��i�/Z�f/•�� <br />Pint Name Signature Date <br />Version 09/29/2021 <br />Contractor's Bid for Public Works - 8 <br />