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5iltflli ltj . <br />CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />%; 't` ' <br />FORM MBE-1.0 <br />l l' <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 />***Goals should be calculated based on the Base Bid only.*** <br />Project Number: <br />Bidder: <br />123-014 <br />Project Name: <br />chard Bros.. Inc. <br />Demolition of 1000 West Sample Street <br />Base Bid Amount: $924, 573.00 <br />MBE Goal: 1.39% <br />Page 1 of 1 <br />Name & Address of MBE <br />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 />1st Class Logistics LLC <br />2213 St. Charles Ave <br />South Bend, IN 46614 <br />Bernard Coutee <br />574-993-0071 <br />Trucking <br />45,000.00 <br />4.8% <br />Submitted by: Rachelle L. Dolniak IQ, 2/13/2024 <br />Print Name Signature Date <br />***Goals should be calculated based on the Base Bid only.*** <br />Version 07/19/2023 Contractor's Bid for Public Works - 8 <br />