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�sov711 gE�� <br />CITY OF SOUTH BEND` <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORNG BE-1.Q� <br />18fi5 <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: <br />Bidder: <br />124-069M Project Name: <br />SIlja�t, ANY <br />N <br />The Pointe at Riverwalk Utility Materials <br />Total Bid Amount: <br />MBE Goal: <br />Page -i— 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 />DollarAmount of MBE <br />Component <br />Percentage <br />of Total <br />Bid/Proposal <br />Submitted b a?&kyr <br />Print Name SI nat Date <br />***Goals should be calculated based on the Base Bid only.*** <br />Version 1/3/2025 Page - 19 Public Works Quote <br />