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14. <br />CITY OF SOUTH BEND d� <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: <br />Bidder: <br />123-011 <br />Project Name: YSB/South Bend Thrive Subdivision Infrastructure Im rovements <br />Milestone Contractors North, Inc. Total Bid Amount: $3,853,044.0 <br />Name & Address of MBE <br />JBL Signals & Lighting <br />4316 Technology Drive <br />South Bend, IN 46628 <br />Primary Contact Person Scope of Work to be Performed <br />(NamefTelephone) (Attach scope/schedule if you need additional space) <br />Tanner Leibovitz Electrical <br />574-855-2251 <br />Submitted by: Dustin P. Hilary, Director of Estimating <br />Print Name <br />Version 09/29/2021 Contractor's Bid for Public Works - 11 <br />MBE Goal: 1.87 <br />Page 1 of 1 <br />Dollar Amount of MBE Percentage <br />Component of Total <br />Com <br />P QIA/D...n. 1 <br />$99,851.00 1 2.59% <br />9/12/2023 <br />Date <br />