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oFsou re aFtio <br />CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN s """ fz <br />FORM MBE-1.0 �J <br />1865 <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: 124-001A Project Name: South Bend - SBCSC Administration Building - Elevator Replacement <br />Bidder: R. Yoder Construction, Inc. Total Bid Amount: MBE Goal: 0.0 <br />Page 1 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/Proposal <br />N/A <br />Submitted by: Jason Yoder <br />Print Name <br />Signature <br />***Goals should be calculated based on the Base Bid only.*** <br />Version 03/15/2024 Contractor's Bid for Public Works - 8 <br />05/28/2024 <br />Date <br />