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CITY OF SOUTH BEND <br />','� ,;'. <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: R124.032B Project Name: South Bend Public Works Service Center Re -roofing <br />Bidder: Hoekstra Roofing Company Total Bid Amount: 620,200.00 MBE Goal: 0.6% <br />Page 1 of 1 <br />Name &Atltlress of MBE <br />Primary Contact Person <br />(Name/relephone) <br />scope of Work to be Performed <br />(Attach scope/schedule If you read additional space) <br />Dollar Amount of MBE <br />Component <br />Percentage <br />of Total <br />Bid/fT al <br />osai <br />Leon's Roofing LLC <br />3628 East Tillman Road <br />Fort Wayne, IN 46816 <br />Omar Leon <br />260-557-8489 <br />omar.oscar@leonsro <br />Flat roofing, dyrwall, and powerwashing <br />f.com <br />$189,440.00 <br />30% <br />Submitted by: Tom Lundquist, CFO —77 December 9, 2024 <br />Print Name Signa Date <br />***Goals should be calculated based on the Base Bid only..*** <br />Version 07/19/2023 Contractor's Bid for Public Works-9 <br />