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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 -owned business meets the MBE qualifications. <br />***Goals should be calculated based on the Base Bid only.*** <br />Project Number: <br />Bidder: <br />122-059R <br />Project Name <br />Rieth-Riley Construction Co., Inc. <br />Angela Boulevard Roadway Improvements <br />Total Div 1 Amount: �ZS�i, �i Ji- 3 MBE Div 1 Goal: 3.216% <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/Pro osal <br />g3lu T-c"ly tt. <br />5OA-, god , i �J qc407Z <br />-tss- Zzs-k <br />72 <br />✓ lc� <br />Submitted by: <br />Derek Sauer <br />Print Name <br />�Jl L <br />ignature <br />***Goals should be calculated based on the Base Bid only.*** <br />October 24, 2023 <br />Date <br />