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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 />his completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects involving MBE participation. It is <br />Ile bidder's sole responsibility to verify whether any listed minority -owned business meets the MBE qualifications. <br />***Goals should be calculated based on the Base Bid only.*** <br />'roject Number: <br />Sidder: <br />123-068 project Name: 2023 Residential Demolitions <br />Base Bid Amount: -7 11, 2f�c:,°- MBE Goal: 1.4% <br />Page of / <br />Name & Address of MBE <br />Primary Contact Person <br />(Name/Telephone)of <br />Scope of Work to be Performed <br />(Attach scope/schedule If you need addltlonal space) <br />Dollar Amount of MBE <br />Component <br />Percentage <br />Total <br />Bid/Proposal <br />I <br />Submitted by <br />arsion 07/19/2023 <br />�;_Or 0� <br />0, <br />Print Name Si nature <br />***Goals should be calculated based on the Base Bid only."* <br />Contractor's Bid for Public Works - 9 <br />Date <br />