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4Sp)TH SEA <br />O d ; <br />CITY OF SOUTH BEND �� x <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN eAOE <br />FORM MBE-1.0 x 1865 <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: 123-076 Project Name <br />Bidder: Sabre Demolition Corporation <br />Demolition of the South Bend Medical Foundation, 531 N. Main Street, South <br />Bend, IN <br />Total Bid Amount: $1,773,000 <br />MBE Goal: 1.4% <br />Page <br />of <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 />Butler Hauling <br />3039 N Post Rd <br />Indianapolis, Indiana <br />Shenika Butler <br />317/997-7391 <br />Hauling of Demolition Debris <br />$141,000 <br />7.9% <br />Submitted by: Matthew Dixon <br />Print Name <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 />5/24/2024 <br />Date <br />