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7 <br />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: Selge Construction Co., Inc. Total Bid Amount: $ 1,639,630.15 MBE Goal: 3.53% <br />Page 1 of 1 <br />Name & Address of MBE <br />Primary Contact Person <br />Scope of Work to be Performed <br />Dollar Amount of MBE <br />Percentage <br />of Total <br />(Name/Telephone) <br />(Attach scope/schedule if you need additional space) <br />Component <br />Bid/Proposal <br />1st Class Logistics <br />Bernard Coutee <br />Hauling <br />$ 58,120.00 0 <br />574-993-0071 <br />3.55/o <br />2213 St. Charles Ave <br />South Bend, IN 46614 <br />1 <br />Submitted by: <br />Justin Butler, Vice President <br />Print Name <br />Z=4 <br />8.22.23 <br />Si a Date <br />Version 09/29/2021 Contractor's Bid for Public Works - 9 <br />