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CITY OF SOUTH BEND <br />O' <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM MBE-1.0 - <br />:IN(i5 <br />MBE UTILIZATION PLAN <br />This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects <br />involving MBE participation. It is the bidder's sole responsibility to verify whether any listed minority -owned business meets the MBE <br />qualifications. <br />Project Number: <br />Bidder <br />123-063R <br />***Goals should be calculated based on the Base Bid only.*** <br />Project Name <br />Hawk Enterprises, Inc. <br />Name & Address of MBE <br />Master Enterprises <br />P.O. Box 18523 <br />Indianapolis, IN 46218 <br />Submitted by: <br />Johanna Plank <br />Print Name <br />Cleveland Road at Portage Road Traffic Signal Improvements <br />Total Bid Amount: $259,944.77 MBE Goal: 1.57% <br />Primary Contact Person Scope of Work to be Performed <br />(Name/Telephone) (Attach scope/schedule if you need additional space) <br />Bryce Orr Supply Hemispherical Video <br />Detection System <br />Sig re <br />Version 5/20/2024 Contractor's Bid for Public Works - 9 <br />Page of <br />Dollar Amount of MBE _ Percentage I <br />of Total <br />Component Rirl/Drnnneal <br />$28,959.00 8.9% <br />1 /28/2025 <br />Date <br />