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CITY OF SOUTH BEND f ' <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 />***Goals should be calculated based on the Base Bid only.*** <br />Project Number: <br />Bidder: <br />123-014R <br />Renascent Inc. <br />Project Name- Demolition of 1000 West Sample Street <br />Base Bid Amount: $887,000.00 MBE Goal: 1.39% <br />Page 1 of 1 <br />Name & Address of MBE Primary Contact Person Scope of Work to be Performed <br />(Name/Telephone) (Attach scope/schedule if you need additional space) <br />Bernard Coutee <br />1 st Class Logistics LLC 574-993-0071 <br />2213 Saint Charles Avenue, Hauling of Debris <br />South Bend, IN 46614 <br />Submitted by: <br />1 stclasslogistics2013 <br />@gmail.com <br />Luke Fray -a _P � <br />Print Name Signature <br />***Goals should be calculated based on the Base Bid only.*** <br />Version 07/19/2023 Contractor's Bid for Public Works - 8 <br />Dollar Amount of MBE 1 I of <br />Component R;.1/r <br />$13,000 1 1.47% <br />03/26/2024 <br />Date <br />