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04 SOUTH BE�O <br />F' r <br />CITY OF SOUTH BEND d <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM MBE-1.0 <br />ia6s <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: <br />Bidder: <br />124-001 Project Name: South Bend - SBCSC <br />Larson -Danielson Total Bid Amount: <br />Construction Company, Inc. <br />Hall Renovation <br />MBE Goal: 0.82 <br />Page 1 of 1 <br />Name & Address of MBE <br />Primary Contact Person <br />Scope of Work to be Performed <br />Dollar Amount of MBE <br />Percentage <br />of Total <br />(Name/Telephone) <br />(Attach scope/schedule if you need additional space) <br />Component <br />Bid/Proposal <br />Aorbis, Inc. <br />Jalpa Thaker <br />Doors, Frames & Hardware <br />$205,141 <br />2.8% <br />1111 Main St. <br />860-317-7100 <br />East Hartford, CT <br />06108 <br />NOTE: Supplier <br />Diversity Program/State of Connecticut <br />(1st Tier) <br />Submitted by: Brian T. Larson, President X t/, <br />Print Name Signature <br />CARBON-DANI ELSON <br />\E "1 CONSTRUCTION CO., INC. <br />***Goals should be calculated based on t e ase i on v.' <br />Version 03/15/2024 Contractor's Bid for Public Works - 10 <br />10/22/24 <br />Date <br />