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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN Y <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: 121-052 Project Name: 2021 Community Crossings Round 2 <br />Bidder: Milestone Contractors North, Inc. Total Bid Amount: $1,332,000.00 <br />Name & Address of MBE Primary Contact Person Scope of Work to be Performed <br />(Name/Telephone) (Attach scope/schedule if you need additional space) <br />C. Lee Construction Services, <br />1011 S. Lake Street <br />Gary, IN 46403 <br />V & R Trucking, Inc. <br />1845 North Elmer Street <br />South Bend, IN 46628 <br />MBE Goal: 4.19% <br />Page 1 of 1 <br />Dollar Amount of MBE Percentage <br />Component of Total <br />Bid/Pro sal <br />Frederick "Chip" Lee Hauling $35,440.00 2.66% <br />219-922-7733 <br />Veda Godette Hauling $20,400.00 1.53% <br />574-234-1268 1 <br />Submitted by: Dustin P. Hilary. Director of Estimating <br />Print Name <br />Version 09/29/2021 Contractor's Bid for Public Works -18 <br />1/25/2022 <br />Date <br />