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O45pUTH gtryO <br />CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN > i <br />FORM MBE-1.0z <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 />Project Number: <br />Bidder: <br />124-009 Project Name: <br />f'RF_.�rsurf 4�.alcrE7< <br />Division 1 —MBE Goal: 2.70% <br />2024 Curb and Sidewalk Construction <br />ca <br />Total Bid Amount: f, 0 �8, 53fo — <br />Division 1 Bid Amount: aL.ZO 9(o6 <br />as <br />3 pages <br />Name & Address of MBE <br />Primary Contact Person <br />Name/Tele hone <br />( p ) <br />Scope of Work to be Performed <br />(Attach scope/schedule if you need additional space) <br />Y <br />Dollar Amount of MBE <br />Component <br />Percentage of <br />Total <br />Bid/Proposal <br />/siSs w�. srs�s <br />r3£nNaRo <br />TRuGaJGCIO <br />�(p�3Q� <br />^� p <br />2213 5T cNARcES A✓E <br />GpurE� <br />p�.(�S/e <br />$purtf 6NO. sa Yd�iy <br />�Z�� gy3_oo�r <br />Version 03/15/2024 Contractor's Bid for Public Works - 11 <br />