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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM MBE-1.0 <br />-..' <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: Angela Boulevard Roadway Improvements <br />Rieth-Riley Construction Co., Inc. Total Div 2 Amount: x Z. 73SP, 9Sv. 17 MBE Div 2 Goal: 2.656% <br />Page !L of fi <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/ProposalBid/Proposal <br />v 6�(� <br />�lr <br />5 -r�J qf. <br />Jj ,�, (( <br />�CiiFlar' �►"'ibCl't <br />s7�t-ass - Zit <br />;� j / _ <br />�IQ�. �, tnvl Lro�+c <br />����„����.�� <br />Submitted by: <br />Derek Sauer <br />Print Name <br />�giL_ <br />Signature <br />***Goals should be calculated based on the Base Bid only.*** <br />October 24, 2023 <br />Date <br />