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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 />Project Number: <br />Bidder: <br />121-070B <br />Project Name: Fellows Booster Station Contract B-Station Installation and Site Work <br />Selge Construction Co., Inc. Total Bid Amount: $3,654,000.00 <br />MBE Goal: 7% <br />Page 1 of-1 <br />Name &Address of MBE <br />Primary Contact Person <br />(Name/Telephone) <br />Scope of Work to be Performed <br />(Attach scope/schedule if you need additional space) <br />Dollar Amount of MBE <br />Component <br />Percentage <br />of Total <br />Bid/Proposal <br />1st Class Logistics <br />Bernard Coutee <br />Trucking <br />$ 27,330.00 <br />0.75% <br />574-993-0071 <br />2213 St. Charles Ave <br />South Bend, IN 46614 <br />Master Filter Corp <br />Bryce Orr <br />Supply of generator <br />$501,119.00 <br />13.7% <br />DBA Master Enterprises <br />317-545-3335 <br />4195 Millersville Rd <br />Indianapolis, IN 46205 <br />Submitted by: Robert Kuhns, Project Engineer <br />Print Name <br />Signature <br />Version 09/29/2021 Contractor's Bid for Public Works - 9 <br />April 9, 2024 <br />Date <br />