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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM MBE-1.0 <br />`ir• <br />MBE UTILIZATION PLAN <br />`iis completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects involving MBE participation. It is <br />ie 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 />'roject Number <br />3idder: <br />124-051 Project Name 2024 Neighborhood Services & Enforcement Demolitions <br />Base Bid Amount: 5715C,, 2-,75,OQ MBE Goal: 1.3% <br />Page--i_of <br />Name & Address of MBE <br />Primary Contact Person <br />(Name/Telephone) <br />Scope of Work to be Performed Dollar Amount of MBE Percentage <br />(Attach scope/schedule if you need additional space) Component of Total <br />Bid/Pro osal <br />�\ J <br />rL U>, <br />/'if <br />f- <br />i <br />Submitted by: yle <br />Prmf Name Signatur Date <br />*''*Goals should be calculated based on the Base Bid only.w " <br />3rsion 07/19/2023 Contractor's Bid for Public Works - 9 <br />