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CITY OF SOUTH BEND ar, <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM MBE-1.0 <br />MBE UTILIZATION PLAN <br />leted 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 />"`Goals should be calculated based on the Base Bid only..*** <br />Project Number: 124-020 Project Name: Studebaker Museum HVAC Replacer <br />Bidder: Cc(;,.,c, A . I • L�JF. ier Zx Total Bid Amount: I&q <br />MBE Goal: <br />Name & Address of MBE <br />Primary contact Person <br />(Name/relaphone) <br />Scope of Work to be Pei1orrned <br />(Attach scopelschedule if you need additional space) <br />Dollar Amount of MBE <br />Component <br />Percentage <br />of Total <br />BidtPro osal <br />Submitted by: �� {w[,j+e r� Jr ­Ilk 10 ZI 'LY <br />Print Name nature Date <br />"'Goals should be calculated based on the Base Bid only." <br />Version 3/15/2024 Page - 20 Public Works Quote <br />wol IS 5E1lI7-���, l tiuFA_ S�Pau�2(TIE_:_G> is ►acr ArJ IMe�F, <br />Q.�I P✓ r.T \5 IN) STo CsG. 4T 7; e S o GEE— NAJt�E E1-cE-E4 . <br />