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�yrlrl <br />1' <br />CITY OF SOUTH BEND 3 \ F `_. <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN a <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 or woman business meets the MBE qualifications. <br />***Goals should be calculated based on the Base Bid only.—* <br />Project Number. 125-021AR Project Name: Monroe Street Arts Buildings -Select Roof Replacement <br />Bidder. Slatile Roofing and Sheet Metal Co. Inc Total Bid Amount: 245,812.00 MBE Goal: 0.6% <br />Page of <br />Name 8 Address of MBE <br />Primary Contact Person <br />(Namo/Telephone) <br />Scope of Work to be Performed <br />(Attach smpe/schedule A you need addlfonal space) <br />Dollar Amount of MBE <br />Component <br />Percentage <br />of Total <br />Bid/Proposal <br />JMH Roofing Company, Inc. <br />1219 E. 91h Street <br />Indianapolis, IN 46202 <br />317-605-2789 <br />Materials Supplied <br />1,475.00 <br />0.6% <br />Submitted by: Gerald Longerot <br />26125 <br />Print Name Signatu08/r Date <br />te <br />' <br />""*Goals should be calculated based on the Base Bid only.*`* <br />Version 1/3/2025 Page - 20 Public Works quote <br />