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�Oy,]U H <br />CITY OF SOUTH BEND \ <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <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 />Project Number: 119-031D Project Name: Drewry's Brewery Cleanup Phase II Bott <br />Bidder: Adamo Demolition Company Total Bid Amount: <br />House Demolition <br />MBE Goal <br />Pace <br />9 4 C.O/_ <br />of <br />Name &Address of MBE <br />Primary Contact Person <br />(Name/Telephone) <br />Scope of Work to be Performed <br />(Attach scopelsahedule if you need additional space} <br />Dollar Amount of MBE <br />Component <br />percentage <br />of Total <br />g1dlPro osa! <br />1st Class oogistics <br />2213 S Ck ARoES A E <br />Ss U k BEND, IN <br />14-9167 <br />Bernard Coutee <br />574-993-0071 <br />rucking and Back ill Material <br />$30,000.00 <br />1.36 <br />Submitted by: Richard M. Adamo <br />Print Name <br />Si ature <br />'Goals should be calculated based on the Base Bid only.*** <br />Version 0711912023 Contractor's Bid for Public Works - 8 <br />07/22/2024 <br />Date <br />