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f. F <br />CITY OF SOUTH BEND ' <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM MWBE-1.0 d; <br />MWBE 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 or woman business meets the MBE qualifications. <br />Project Number: <br />Bidder <br />121-016 Project Name: 2021 Contractor Paving Round 1 <br />Milestone Contractors North. Inc. Total Bid Amount: $1,138,000.00 <br />Name & Address of MBE <br />C. Lee Construction Services, Inc. <br />1011 S. Lake Street <br />Gary, IN 46403 <br />Primary Contact Person <br />(Name/Telephone) <br />Frederick "Chip" Lee <br />219-888-9554 <br />Submitted by: Dustin_ Hilary _ <br />Print Name <br />Scope of Work to be Performed <br />(Attach scope/schedule if you need additional space) <br />Hauling <br />Version 01/13/2021 Contractor's Bid for Public Works - 10 <br />MBE Goal: 4.2% <br />Page 1 of <br />Dollar Amount of MBE Percentage <br />Component of Total <br />$47,800.00 1 4.2% <br />4/13/2021 <br />Date <br />