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tip\:fll �tF. <br />CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN,; <br />FORM MBE-1.0 -- <br />�dr, <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 />117-059A <br />South Well Field, Water Treatment Plant, and Distribution System Improvements <br />Project Name: Contract A — Well Field and Water Treatment Plant Improvements (Bid Package 2 — Division A - Rebid) <br />Bowen Engineering Corporation Total Bid Amount: 4,015,000.00 MBE Goal: 1.11 % <br />Page of <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 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 />52,500.00 <br />1.31 % <br />Submitted by: <br />Doug Stout, Estimating Manager <br />Print Name <br />06/10/2025 <br />SignatLwDate <br />Version 09/29/2021 Contractor's Bid for Public Works - 9 <br />