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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN V a' <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: 124-001 <br />Project Name: <br />South Bend - SBCSC City Hall Renovation <br />Bidder: MICHUDA-CRUZ <br />Indiana JV LLC <br />Total Bid Amount: <br />MBE Goal: <br />0.82 <br />Page <br />of <br />Primary Contact Person <br />Scope of Work to be Performed <br />Dollar Amount MBE <br />Percentage <br />of Total <br />Name & Address of MBE <br />(Name/Telephone) <br />(Attach scope/schedule if you need additional space) <br />nt <br />Component <br />Bid/Proposal <br />10-22-24 <br />Submitted by: Josef Michua <br />Signa re <br />Date <br />Print Name <br />V V <br />***Goals should be calculated based on the Base Bid only.*** <br />Version 03/15/2024 Contractor's Bid for Public Works - 10 <br />