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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN<! <br />FORM MBE-1.0 <br />MBE UTILIZATION PLAN H, , <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 />124-022 <br />Project Name: VPA LEEPER COURT RECONSTRUCTION <br />Tarkett Sports Construction - Central, LLC Total Bid Amount: $ Z, (SE 4 07 Q. 00 MBE Goal: 1.21% <br />Page 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 />lst Class Logistics, LLC <br />2213 St. Charles Ave <br />South Bend, IN 46614 <br />Bernard Coutee <br />(574)993-0071 <br />Trucking, Aggregate Supplier <br />$148,736.43 <br />o� <br />Submitted by: Jake Jackson w <br />Print Name gignatdre <br />***Goals should be calculated based on the Base Bid only.*** <br />Version 1/3/2025 Contractor's Bid for Public Works - 13 <br />5/13/2025 <br />Date <br />