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CITY OF SOUTH BEND <br />4 <br />r <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM MWBE-1.0 <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: 121-008 Project Name: Roadway Reconstruction <br />Bidder: Milestone Contractors North, Inc. Total Bid Amount: $2,398,000.00 <br />Name & Address of MBE Primary Contact Person <br />(Name/Telephone) <br />C. Lee Construction Services, Inc. Frederick "Chip" Lee <br />1011 S. Lake Street 219-888-9554 <br />Gary, IN 46403 <br />Submitted by: Dustin P. Hilary, Director of Estimating, <br />Print Name South Bend <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: 3.2% <br />Page 1 of 1 <br />Dollar Amount of MBE Percentage? <br />Component of Total <br />1 <br />$76,800.00 <br />6/8/2021 <br />Date <br />3.2% <br />