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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 />123-031A Project Name: South Bend WWTP Degrit Building Yard Piping Replacement <br />LJDD 1-^ <br />Total Bid Amount: <br />MBE Goal: 1.22% <br />Page- 1 of 1 <br />Name & Address of MBE <br />Primary Contact Person <br />(NamerTelephone) <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 />D.A. Dodd <br />14 E. Michigan Street <br />Rolling Prairie, IN 46371 <br />Ben Mikel <br />219-778-4302 <br />HVAC <br />$26,893.00 <br />6% <br />Submitted by: Matthew D. Cain, President <br />Print Name <br />February 27, 2024 <br />aaL2� --- <br />Signature Date <br />"'Goals should be calculated based on the Base Bid only.*** <br />Version 07/19/2023 Contractor's Bid for Public Works - 9 <br />