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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 />***Goals should be calculated based on the Base Bid only.*** <br />Project Number: 119-031C Project Name: Drewry's Brewery Cleanup, Phase I <br />Bidder: GreenDemotitn-Contractors.Inc. Base Bid Amount: $1,152,000.00 MBE Goal: 1.30% <br />Page_J_of-2_ <br />Name & Address of MBE <br />Primary Contact Person <br />(Nan- Teleph—) <br />Scope of Work to be Performed <br />(Attach scope/schedule if you need additional space) <br />Dollar Amount of MBE <br />Component <br />$16,128.00 <br />Percentage <br />of Total <br />Bwproposal <br />1st Class Logistics, LLC <br />2213 Saint Charles Ave <br />South Bend, IN 46614 <br />Bernard Coutee <br />574-993-0071 <br />Trucking & Hauling <br />(Dump Truck) <br />a <br />1.4 /o <br />Submitted by: Michael Brough _ 3-25-2024 <br />Print Name Signature Date <br />***Goals should be calculated based on the Base Bid only.*** <br />Version 07119/2023 Contractors Bid for Public Works - 8 <br />