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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 />Version 1/3/2025 Contractor’s Bid for Public Works - 12 <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 /> <br />***Goals should be calculated based on the Base Bid only.*** <br />Project Number: 125-041 Project Name: Seitz Park Reconstruction Phase II <br />Bidder: Total Bid Amount: MBE Goal: <br />Page_______of___ ____ <br /> <br />Name & Address of MBE 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 /> <br /> <br /> <br /> <br />Submitted by: <br /> <br /> Print Name Signature Date <br />This document was created by an application that isn’t licensed to use novaPDF. <br />Purchase a license to generate PDF files without this notice.