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CITY OF SOUTH BEND <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 MSE 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. R124-0328 Project Name: South Bend Public Worlcs Service Center Re -roofing <br />Bidder. Slatile Roofinq and Sheet Metal Co., Inc. Total Bid Amount: 898,812.00 MBE Goal: 0.6% <br />Paqe of <br />Name S Address o! MBENamerrelc <br />Primary Contact Person <br />hone <br />( p ) <br />Scope of Work to be Performed <br />p <br />(Attach scope/schedule if you need additional space) <br />Dollar Amount of MBE <br />Component <br />Percentage <br />of Total <br />BldlPro osal <br />JN4H Roofing Company, Inc. <br />1219 E. 9th Street <br />Indianapolis, IN 46202 <br />Jerilyn Huntington <br />317-605-2789 <br />Materials Supplied <br />$5,400.00 <br />e <br />.6 /o <br />Submitted by: Gerald Longerot <br />Print Name Signature <br />***Goals should be calculated based on the Base Bid only.-' <br />Version 07/19/2023 Contractor's Bid for Public Works - 9 <br />12/10/24 <br />Date <br />