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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: 123-001 Project Name: 2023 Curb and S <br />Bidder: PRFejfLGwM Ccwyg AEYE Sh'fvs"ce"STotal Bid Amount: <br />Division A —MBE Goal: 3.40% <br />Division A Bid Amount: & 7 / Ll / <br />2 pages <br />Name &Address of MBE <br />Primary Contact Person <br />(Namelielephone) <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 />it S" rc <br />n <br />221 cIcs <br />�trYJar Glv <br />TrUCICi <br />14 <br />14-493-0071 <br />Kann V EK V* <br />li w• <br />3z S yr <br />►1�u5 o rn <br />'1"rvck i <br />�`' <br />n <br />Division B —MBE Goal: 3.72% <br />Division B Bid Amount: <br />33s, S� 3 <br />Name & Address of MBE <br />Primary Contact Person <br />(NamerTelephone) <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 />3 C11=5 ` va 1 <br />!-M-c�11 <br />Trucking <br />�� 2 s� <br />1 � S s <br />�'"` <br />ss-sesi <br />�rveki n <br />iya <br />Version 09/29/2021 Contractor's Bid for Public Works - 10 <br />