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07 ,- <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: 122-029 Project Name: <br />2022 Asphalt Materials Bid <br />Bidder: Milestone Contractors North, Inc. <br />Total Bid Amount: $3,644,930.00 <br />MBE Goal: <br />0.13% <br />Page 1 <br />of 1 <br />Name &Address of MBE <br />Primary Contact Person i <br />Scope of Work to be Performed <br />Dollar Amount of MBE <br />Percentage <br />of Total <br />(Name/Telephone) <br />i <br />Attach sco scope/schedule if you need additional space) <br />� P Y P ) <br />Component <br />P <br />Rirl/Drnnnc.l <br />C. Lee Construction Services, Inc. Frederick "Chip" Lee Hauling <br />1011 S. Lake Street <br />Gary, IN 46403 <br />Submitted by: Dustin P. Hilary, Director of Estimating <br />Print Name <br />Version 09/29/2021 Contractor's Bid for Public Works - 9 <br />$4,750.00 1 0.13% <br />3/22/2022 <br />Date <br />