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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 />Version 09/29/2021 Contractor’s Bid for Public Work - 9 <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: 123-054R Project Name: Liberty Tower TIF Project – Parking Garage <br />Bidder: Base Bid Amount: MBE Goal: 3.4% <br />Page_______of___ ____ <br />Name & Address of MBE 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 /> <br />Submitted by: <br />Print Name Signature Date <br />Browning Chapman, LLC <br />Browning Chapman, LLC will be self performing all scopes of work. Browning Chapman searched for MBE line stripingon the approved vendors list and did not see any. <br />Allan Browning December 11, 2023 <br />1 1 <br />1,296,623.00