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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM MBE-1.0 aee <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 />Project Number: <br />Bidder: <br />South Well Field, Water Treatment Plant, and Distribution System Improvements <br />_Contract A — Well Field and Water Treatment Plant Improvements (Bid Package 1) <br />Bowen Engineering Corporation Total Bid Amount: a are nnn <br />117-059A . Project Name <br />MBE Goal. 1.08/0 <br />Page of <br />Name & Address of MBE <br />Primary Contact Person <br />(Name/Telephone) <br />Scope of Work to be Performed <br />(Attac17h scope/schedule if you need additional space) <br />Dollar Amount of MBE <br />Component <br />Percentage of <br />Total <br />Bid/Proposal <br />AMGI LLC <br />2345 S Briarwood Drive <br />New Palestine, IN 46163 <br />Marlon Gill <br />317-447-1524 <br />Equipment Rental and <br />Construction Material Supplier <br />$55,000 <br />1.1 <br />Submitted by: <br />Doug Stout, Estimating Manager <br />Print Name <br />Signthe <br />ire <br />Version 09/29/2021 Contractor's Bid for Public Works - 8 <br />Date <br />04/22/2025 <br />