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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM MBE-1.0 ='�Y <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 or woman business meets the MBE qualifications. <br />***Goals should be calculated based on the Base Bid only.*** <br />Project Number: 125-038 Project Name: Demolition of 4022 Old Cleveland Road <br />Bidder: Ritschard Bros., Inc. Total Bid Amount: $29,251.00 MBE Goal: 1.3% <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 />1st Class Logistics LLC <br />2213 St. Charles Ave. <br />South Bend, IN 46614 <br />Bernard Coutee <br />574-993-0071 <br />Trucking <br />$2,640.00 <br />9% <br />Submitted by: Rachelle L. Dolniak� <br />Print Name S gnature <br />***Goals should be calculated based on the Base Bid only.*** <br />Version 3/15/2024 Page - 86 Public Works Quote <br />Date <br />6/24/2025 <br />