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CITY OF SOUTH BEND = <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN k _ <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 />119-109R Project Name: CNG Compressor Upgrade <br />KW Services LLC Total Bid Amount 1, 545, 000. 00 MBE Goal .44 % <br />Page 1 of 1 <br />Name &Address of MBE <br />Primary Contact Person <br />(Namerrelephone) <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 />13prWroposaT <br />JBL Signals and <br />Tanner <br />Supply Electrical <br />pp Y <br />17,210.00 <br />Lighting <br />Leibovirz <br />Equipment <br />1.11% <br />4316 Technology E <br />r574.855.22 <br />1 <br />Submitted by: Anthony J. Maloney <br />Print Name signatwe _ <br />***Goals should be calculated based on the Base Bid only.*** <br />CNG Compressor Upgrade <br />Project No. 119-109R Contractor's Bid for Public Works - 8 Version 07/19/2023 <br />6/11/2024 <br />Date <br />