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CITY OF SOUTH BEND:''• i <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM MBE-1.0 <br />..r+ry:r•fiY• <br />MBE UTILIZATION PLAN <br />its completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects involving MBE participation. It is <br />a bidder's sole responsibility to verify whether any listed minority -owned business masts the INIBE qualifications. <br />***Goals should be calculated based on the Base Bid only.*** <br />'roject Number: <br />lidder: <br />119-031 D <br />Project Name: Drewry's Brewery Cleanup Phase 11 Bottling House Demolition <br />MBE Goal: 1.36% <br />Page of <br />Name & Address of MBE <br />Primary Contact Person <br />(NamelTelephone) <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 />Bld/Pr oral <br />1 st Class Logistics LLC <br />2213 Saint Charles Avenue <br />South Bend, IN 46614 <br />Bernard Coutee <br />(574) 993-0071 <br />Trucking <br />$15,738.56 <br />1.37% <br />;ubmitted by: Michael J. Brough".4 <br />- <br />Print Name Signa e <br />***Goals should be calculated based on the Base Bid only.*** <br />rslon 07/19/2023 Contractor's Bid for Public Works - 8 <br />7/22/24 <br />Date <br />