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� o <br />w � <br />CITY OF SOUTH BEND (' 7 <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSIONPROGRAM PLAN PR �. <br />,� �, �.:►�1.. .f <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 fisted minority -owned business meets the MBE qualifications. <br />***Goals should be calculated based on the Base Bid only.*** <br />Project Number: 125-043A Project Name: Demolition of 921 Louise Street <br />Bidder: Base Bid Amount:ad <br />ci MBE Goal: 1.28% <br />Pag .of_ <br />Name & Address of MBE Primary Contact Person Scope of Work to be Performed Dollar Amount of MBE Percentage <br />(Name/Telephone) (Attach scope/schedule if you need additional space) Component of Total <br />p Bid/Pro osal <br />�i-Class Lc�is�5 1-�-(. 5�-qa3 -D��� <br />�Iruckl�t � <br />CTs�". <br />�14 <br />Submitted by:��/! Print Name .31 ! ,, <br />�htw <br />Signature Date <br />***Goals should be calculated based on the Base Bid only.*** <br />Version 07/19/2023 Contractor's Bid for Public Works - 8 <br />