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CITY OF SOUTH BEND <br />1 z <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 />Project Number: <br />Bidder: <br />121-064A <br />Project Name: Nexus Center Roof Replacement <br />Slatile Roofing & Sheet Metal Co., Inc. Total Bid Amount: 406,684.00 <br />MBE Goal: 0.6% <br />Page 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 />Dollar Amount of MBE <br />Component <br />Percentage <br />of Total <br />Bid/Proposal <br />JMH Roofing Company, Inc. <br />1219 E. 9th Street <br />Indianapolis, IN 46202 <br />Jerilyn Huntington <br />317-605-2789 <br />Materials Supplied <br />$4,066.84 <br />1 % <br />Submitted by: Gerald Longerot <br />Print Name Signature l <br />Version 09/29/2021 Contractor's Bid for Public Works - 10 <br />December 13, 2022 <br />Date <br />