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{ UT11 ti <br />d <br />CITY OF SOUTH BEND, <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />�w. <br />FORM MBE-1.0 <br />MBE UTILIZATION PLAN <br />_-° <br />This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects involving MBE <br />participation. It is the bidder's sole responsibility to verify whether any listed minority -owned business meets the MBE qualifications. <br />Project Number: 123-050 Project Name: Ireland Road and Ironwood Drive Intersection Improvements <br />Bidder: Rieth-Riley Construction Co., Inc . Total Bid Amount: $ 2 , 0 60, 5 90 . 0 0 MBE Goal: 3.14% <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 />JBL Signals and Lighting <br />4316 Technology Dr. <br />South Bend, IN 46628 <br />Tanner Leibovitz <br />574-855-2251 <br />Electrical, Sign, and Signal <br />Items <br />$251, 163 . 00 <br />12 . 18 0 <br />Submitted by: <br />Drew Snodderly <br />Print Name <br />Signature <br />Version 09/29/2021 Contractor's Bid for Public Works - 10 <br />3/26/2024 <br />Date <br />