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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM MBE-1.0 <br />USE UTILIZATION PLAN <br />This completed form should be supplied with Bide 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: 117-0698 Project Name: <br />Bidder: HRP Construction Inc. <br />South Well Field Water Treatment Plant and Distribution System Improvements <br />Contract B — Watermain <br />Total Bid Amount: $ 2,271,000.00 MBE Goal: 1.5% <br />Pane 1 of 1 <br />Name &Address of MBE <br />Primary Contact Person <br />(Na mefrelephone) <br />Scope of Work to be Performed <br />P <br />(Attach scopetschedule if you need additional space) <br />Dollar Amount of MBE <br />Component <br />Percentage <br />Bid/Proposaloftal <br />V & R Trucking, Inc. <br />1845 N. Elmer Street <br />Veda Godette <br />Hourly Trucking <br />$ 19,065.00 <br />0.84°10 <br />South Bend, IN 46628 <br />574-234-1268 <br />Jack Gray Transport, Inc. <br />Matt Coduti <br />Aggregates <br />$ 15,000.00 <br />0.66% <br />4600 East 15th Ave. <br />219-938-7020 <br />Gary, IN 46403 <br />Submitted by: <br />Version 09t29t2021 <br />Matthew D. Cain, President August 22, 2023 <br />Print Name Signature Date <br />Contractor's Bid for Public Works -10 <br />