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CITY OF SOUTH BEND(': <br />,�,usr ti <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />l f <br />FORM MBE-1.0 <br />MBE UTILIZATION PLAN <br />- <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 />Demolition of the South Bend Medical Foundation, 531 N. Main Street, South <br />123-076 Project Name: Bend, IN <br />Renascent Inc. <br />Name & Address of MBE <br />1 st Class Logistics LLC <br />2213 Saint Charles Avenue, <br />South Bend, IN 46614 <br />Submitted by: <br />Samuel Fray <br />Print Name <br />Primary Contact Person <br />(Name/Telephone) <br />Total Bid Amount: $2,338,000.00 MBE Goal: 1.4% <br />Page 1 of 1 <br />Scope of Work to be Performed Dollar Amount of MBE Percentage <br />Attach scope/schedule if you need additional space) Component of Total <br />Bernard Coutee This contractor will be providing trucking and aggregates 32,900.00 1.4% <br />574-993-0071 1 <br />Signature <br />***Goals should be calculated based on the Base Bid only.*** <br />Version 07/19/2023 Contractor's Bid for Public Works - 10 <br />05/28/2024 <br />Date <br />