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CITY OF SOUTH BEND <br />f <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 />123-076 <br />Demolition of the South Bend Medical Foundation, 531 N. Main Street, South <br />Project Name: Bend, IN <br />Green Demolition Contractors, Inc. Total Bid Amount: <br />MBE Goal: 1.4% <br />Page 1 of 2 <br />Name & Address of MBE <br />Primary Contact Person <br />(Name/relephone) <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 />1 st Class Logistics <br />2213 Saint Charles <br />South Bend, IN <br />Bernard Coutee <br />574-993-0071 <br />Trucking & Hauling <br />$59,972.02 <br />2.5% <br />Submitted by: Michael Brough 5/28/2024 <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 -10 <br />