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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM MBEA.0 <br />-*. 1i3ti5 a <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 />R124-032A <br />Project Name: Central Fire Station Re-roofi <br />l�fidland Engineering Company, Inc. Total Bid Amount: sSs0s00.00 <br />MBE Goal: 0.6% <br />Page 1 of 1 <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/Pro osal <br />JMH Roofing Company, Inc. <br />1215 E.9th Street <br />Indianapolis, Indiana 46202 <br />Jeri I Iunington <br />317-423-9035 <br />Material Supplier <br />S44 000.00 <br />5 0% <br />Submitted by <br />Ryan J. Haas/President/CEO <br />Print Name <br />Sig <br />***Goals should be calculated based on the Base Bid only.*** <br />Version 07/19/2023 Contractor's Bid for Public Works - 8 <br />11/26/2024 <br />Date <br />