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``'OliT_II,gF � <br />CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM MBE-1.0 \, H;, <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: <br />Bidder: <br />124-022 Project Name: VPA LEEPER COURT RECONSTRUCTION <br />JOOCj (Q nfI'l,t(ft o yl Total Bid Amount: <br />v <br />MBE Goal: 1.21 % <br />Page I of I <br />Name & Address of MBE <br />Primary Contact Person <br />(Name/Telephone) <br />Scope of Work to be Performed <br />(Attach scope/schedule if you need additional space) <br />Dollar Amount of MBE <br />Component <br />Percentage <br />of Total <br />Bid/Pro osaI <br />r//^��, <br />U' I L V� V 11���V� <br />/�ey�� <br />6 \ J �,'� <br />Q ��1 tl <br />l�-. +KV v l.��VjY 1 V VI.®% \ vn ctdry- <br />1�0,,vtVNtvs .. 500 CQ <br />V(i.i OvS �l <br />_0C dtoL a bi t(-, <br />k ck--v\6-. �,k <br />��� i . <br />Gv� 4�c. _ 1; JY fV- o YI/C <br />SS (_C_IV ` ONeA, <br />t c) Ck�,VkLevlV\( <br />t c.oaA <br />�oAkw_jqa:boyj \ <br />i ig1k, <br />c� C,� e ive.d` tKvu Lu <br />Submitted by: P <br />Prins ame Signature Date <br />***Goals should be calculated based on the Base Bid only.*** <br />Version 1/3/2025 Contractor's Bid for Public Works - 13 <br />