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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 <br />participation. It is the bidder's sole responsibility to verify whether any listed minority -owned business meets the MBE qualifications. <br />Project Number: 122-049 Project Name: Cleveland Road and Ameritech Drive Intersection Improvements <br />Bidder: Rieth-Riley Const. Co. Total Bid Amount:_ $1,511,791.59 MBE Goal: 3.53% <br />Page 1 of 1 <br />H <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 />JBL Signal & Lighting <br />Tanner Leibovitz <br />Signal work, signs, electrical <br />$49,027.50 <br />3.24% <br />4316 Technology Dr. <br />574-855-2251 <br />South Bend, IN 46628 <br />lst Class Logistics <br />Bernard Coutee <br />Trucking, Hauling <br />$4,500.00 <br />0.30% <br />2213 St. Charles Ave <br />574-993-0071 <br />South Bend, IN 46614 <br />Submitted by: Derek Sauer <br />Print Name Signature <br />Version 09/29/2021 Contractor's Bid for Public Works - 9 <br />8-21-23 <br />Date <br />