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O4,yOliTFt 1ip�. <br />CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM MBE-1.0 <br />.....:.:........ <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 or woman business meets the MBE qualifications. <br />Project Number: 124-041 Project Name: 2024 Brick Pavement Spot Repairs <br />Bidder: Acorn Landscaping, LLC Total Bid Amount: $123,596 MBE Goal: N/A <br />Page 1 of <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 />Name &Address of MBE <br />n/a <br />Submitted by: Jeff Ritschard 5/24/2024 <br />Print Name Sign Date <br />Version 06/01/2022 Page - 21 Public Works Quote <br />