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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 />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 or woman business meets the MBE qualifications. <br />Project Number: 122-053 Project Name: <br />Bidder: HRP Construction Inc. <br />Lexington Ave and Darden Rd Hydrant Installation <br />Total Bid Amount: $ 398,000.00 MBE Goal: 1.2% <br />Page 1 of 1 <br />Nam 8 Address of MBE <br />Primary Contact Person <br />(NametTelephone) <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/Pro sal <br />V & R Trucking, Inc. <br />1845 N. Elmer Street <br />South Bend, IN 46628 <br />Veda Godette <br />574-234-1268 <br />Hourly Trucking <br />$ 4,776.00 <br />1.2% <br />Submitted by: Nancy Knapik, Vice President <br />Print Name <br />Sig to �� <br />August 22, 2023 <br />Date <br />Version 04/21/2023 Page - 21 Public Works Quote <br />