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CITY OF SOUTH BEND <br />o. <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />-l�p <br />FORM MBE-1.0 <br /><" <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: 124.026 Project Name: 2025 Guardrail Improvements Project <br />Bidder: C ON eci, eo a tN L Total Bid Amount: $ i 9$ r io SU <br />Division 3 - MBE Goal: 3.43% Division 3 Bid Amount $ A t on") Page 2 of 2 <br />Name&Address of MBE <br />Primary <br />Primary Contact Person <br />Scope of Wod<to be Performed <br />Dollar Amount of MBE <br />Percentage <br />of Total <br />(Attach scope/schedule if you need additional space) <br />Component <br />BIdlProposal <br />vS -"y Dr0-iN - <br />�o cdo u14;�e+ jr <br />JAY Oro eNtWaw>rr`w pv- pinist- <br />V a' <br />Submlttedby: lteor �,w cu% (01d /)-3 <br />Print Name I SigraturEr Date <br />Version 1/3/2025 Contractor's Bid for Public Works - 12 <br />