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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 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: Slatile Roofing and Sheet Metal Co., Inc. Base Bid Amount: 975,000.00 MBE Goal: 3.4% <br />Page, <br />Name & Address or MBE <br />Primary Contact Person <br />(Name/relephone) <br />Scope of Work to be Performed <br />(Attach scope/schedule Iyou need additional space) <br />Dollar Amount or MBE <br />Component <br />Percentage <br />of Total <br />Bwpro osal <br />JMH Roofing Company, Inc. <br />1219 E. 9th Street <br />Indianapolis, IN 46202 <br />Jerilyn Huntington <br />317-605-2789 <br />Furnish Mason <br />Masonry materials. <br />$33,150.00 <br />o <br />3.4 /e <br />Submitted by: Gerald Longerot <br />Print Name Sigrrafure <br />Version 09/29/2021 Contractor's Bid for Public Work - 9 <br />12/12/23 <br />Date <br />