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CITY OF SOUTH BEND <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: 121-067 Project Name: _ Riverfront West Urban Neighborhood Infrastructure Improvements <br />Bidder: -��jQ&LCCa.-fA f � Total Bid Amount: MBE Goal: -t-8396 , <br />Page—]—of- <br />Name 8 Address of MBE <br />Primary Contact Person <br />Name/Tele hone ( p ) <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 TotalBid/Proposal <br />ir'c <br />Submitted by: <br />".me Sign re Date <br />***Goals should be calculated based on the Base Bid only.*** <br />Version 1/3/2025 Contractor's Bid for Public Works - 13 <br />