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;OSOUTH &EEO <br />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: <br />Bidder: <br />123-012 Project Name: High Street Sidewalk Project <br />Premium Concrete Services Inc. Total Bid Amount: <br />$ 244,139.00 <br />MBE Goal: 8-46% 3.17 <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 LLC <br />BERNARD COUTEE <br />Trucking/Material Hauling Services <br />$ 7800.00 <br />3.19% <br />Submitted by: Austin Redding 5/14/24 <br />Print Name Signature Date <br />***Goals should be calculated based on the Base Bid only.*" <br />Version 07/19/2023 Contractor's Bid for Public Works - 8 <br />