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TH :: <br />CITY OF SOUTH BEND <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 />Project Number: 121-006A Project Name: <br />Division 1 — Kale St COSB 2021 Drainage <br />Improvements <br />Bidder: Milestone Contractors North, Inc. <br />Total Bid Amount: $94,280.00 <br />Div 1 MBE Goal: <br />3.2% <br />Page 1 <br />of 1 <br />Name & Address of MBE <br />Primary Contact Person <br />Scope of Work to be Performed <br />Dollar Amount of MBE <br />Percentage <br />of Total <br />(Name/Telephone) <br />(Attach scope/schedule if you need additional space) <br />Component <br />Bid/Proposal <br />C. Lee Construction Services, Inc. Frederick "Chip" Lee Hauling <br />1011 S. Lake Street 219-922-7733 <br />Gary, IN 46403 <br />Submitted by: Dustin P. Hilary, Director of Estimating <br />Print Name <br />Version 08/16/2021 Contractor's Bid for Public Works -10 <br />$3,100.00 1 3.28% <br />8/24/2021 <br />Date <br />