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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN ,?l <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 />Demolition of the South Bend Medical Foundation, 531 N. Main Street, South <br />Project Number: 123-076 Project Name: Bend, IN <br />Bidder: Walsh Construction Company II, LLC Total Bid Amount: $2,932,000 MBE Goal: 1.4% <br />Page 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 />1ST CLASS LOGISTICS <br />2213 ST CHARLES AVE <br />SOUTH BEND,IN 46614 <br />BENARD COUTEE <br />574-993-0071 <br />TRUCKING/HAULING <br />$160,000 <br />5% <br />Submitted by: <br />Carl Jackson <br />Print Name <br />C, Q� <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 />Date <br />5/24/2024 <br />