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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN. <br />FORM MBE-1.0 <br />ta F. <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 />123-024 <br />Project Name: <br />Rieth-Riley Construction Co., Inc. <br />2023 Contractor Paving Round 2 <br />Total Bid Amount: . & 00, 00 MBE Goal: 4.30% <br />Page I of I <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 />�/Afj��{/ <br />�j �/s��p�wyA� JJ��-,��$j fsf� 44�� Jyg <br />;'R. W • • d _" _• 6.t Or t2lD� L .�\� <br />SY.J s9y 01 <br />jjj �'�%j qp <br />91 <br />_y/y ppY jt� p p� <br />• i6` J_ , % <br />E.7 <br />Jq03i'q-J(0.00 <br />�yy ,,p)jj <br />, 0 clu <br />trtr�� <br />Po 7 a <br />Submitted by: &nA&All n.t` in <br />Print Name Signature <br />Version 09/29/2021 Contractor's Bid for Public Works - 9 <br />July 11, 2023 <br />Date <br />