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�11" I11 1; <br />Ir <br />CITY OF SOUTH BEND 1= <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. R124-032A Project Name: Central Fire Station Re -roofing <br />Bidder: Slatile Roofing and Sheet Metal Co.. Inc. Total Bid Amount: 696,812.00 MBE Goal: 0.6% <br />Page of <br />Name &Address of MBE <br />Primary Contact Person <br />(NamelTelephone) <br />Scope of Work to be Performed <br />(Attach scope/schedule f you need additional space) <br />Dollar Amount of MBE <br />Component <br />Percentage <br />of TotalBld/Proosal <br />JMH Roofing Company, Inc. <br />1219 E. 9th Street <br />Indianapolis, IN 46202 <br />Jerilyn Huntington <br />317-605-2789 <br />Materials Supplied <br />$4,200.00 <br />0.6% <br />Submitted by: Gerald Longerot <br />Print Name Sibnature <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 /26/24 <br />Date <br />