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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 verity whether any listed minority -owned business meets the MBE qualifications. <br />***Goals should be calculated based on the Base Bid only.*** <br />Project Number. 122-0408 Project Name: <br />Bidder: HRP Construction Inc. <br />Downtown South Bend to Notre Darter Trail - Hill St. and South Bend Ave. <br />Total Bid Amount: $ 4,691,000.00 MBE Goal: 2.26% <br />Paae -1 of <br />Name & Address of MBE <br />Primary Contact Person <br />(Names Telephone) <br />Scope of Work to be Perfomred <br />(Attach scope/schedule it you need additional space) <br />Dollar Amount of MBE <br />Component <br />Percentage <br />of Totes <br />Bld/Pro osal <br />JBL Signals & Lighting <br />4316 Technology Drive <br />South Bend, IN 46628 <br />Tanner Leibovitz <br />574-855-2251 <br />Electrical <br />$135,869.00 <br />3.0% <br />Submitted by: Matthew D. Cain, President April 9, 2024 <br />Print Name Sign ure Date <br />***Goals should be calculated based on the Base Bid only.*** <br />This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects involving WBE participation. it <br />Version 07/19/2023 ContractDr s Bid far Public Works -11 <br />