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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN l' <br />FORM MBE -2.1 <br />MBE CONTACTED <br />This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects <br />requiring Good Faith Efforts to contact MBEs. It is the bidder's sole responsibility to verify whether any listed <br />minority-owned business meets the MBE qualifications. Attach additional pages if necessary. <br />PAGE 1 OF 1 <br />Project Number: 121-006A Div 2 MBE Participation Goal 2.7% <br />Project Name: Division 2 — Marion St COSB 2021 Drainage Improvements <br />Bidder: / Mil ne Co actors North Inc. <br />By: / {' Director of Estimatin 8/24/2021 <br />(Si e) Du,9K P. Hilary (Title) (Date) <br />MBirm C. Lee Construction Services, Inc. <br />Owner or Contact at MBE Firm Frederick "Chip" Lee <br />Telephone: 219-922-7733 Fax: 219-888-9564 Email: chip@cleecsi.com <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Hauli <br />RESULTS OF CONTACT WITH THE MBE FIRM: <br />If Milestone Contractors North, Inc. is awarded the project, we'll execute a lease agreement with C. Lee <br />Construction Services, Inc. <br />MBE Firm <br />Owner or Contact at MBE Firm <br />Telephone: Fax: Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE MBE FIRM: <br />Version 08/16/2021 Contractor's Bid for Public Works - 24 <br />