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p4 SpUTH BEd <br />CITY OF SOUTH BEND c <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN '`"°` t az <br />FORM MBE-1.0 \ <br />1865 <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 />125-001 <br />Project Name: 2025 Curb and Sidewalk Replacement <br />Total Base Bid <br />Amount: <br />MBE Goal: 1.09% <br />Page 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 />Submitted by: <br />Print Name <br />Signature <br />Version 1/3/2025 Contractor's Bid for Public Works - 10 <br />Date <br />