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BUT <br />dk. <br />CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM MBE-1.0 <br />MBE UTILIZATION PLAN x <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 />122-040A <br />Project Name: Downtown South Bend to Notre Dame Trail — Notre Dame Avenue <br />Milestone Contractors North, LLG flk/ Inc.Total Bid Amount: $4,885,192.50 <br />MBE Goal: 2.01 % <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 />JBL2 Signals & Lighting <br />4316 Technology Drive <br />South Bend, IN 46628 <br />Tanner Leibovitz <br />574-855-2251 <br />Lighting & Electrical <br />$861,691.00 <br />17.64% <br />x <br />Submitted by: Dustin P. Hilary, Director of Estimating <br />Print Name $igture/ <br />***Goals should be calculated based on the Base Bid only.*** <br />Version 07/19/2023 Contractor's Bid for Public Works -13 <br />3/12/2024 <br />Date <br />