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l'f <br />CITY OF SOUTH BEND tl <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 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 />124-023B <br />Project Name: <br />Selge Construction Co., Inc <br />Wall Street and Greenlawn Avenue Improvements <br />Total Bid Amount: $ 2,559,630.45 MBE Goal: 2.64% <br />rage 1 of 1 <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/Proposal <br />2.64% <br />JBL Signals & Lighting <br />4316 Technology Dr <br />South Bend, IN 46628 <br />Tanner Leibovitz <br />574-855-2251 <br />Electrical <br />$ 67,600.00 <br />I <br />Submitted by: Robert P. Kuhns, PE, VP Estimating <br />Print Name <br />Signature <br />***Goals should be calculated based on the Base Bid only.*** <br />Version 5/20/2024 Contractor's Bid for Public Works -10 <br />May 13, 2025 <br />Date <br />