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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: 122-008 Project Name: <br />Bidder: Milestone Contractors North, Inc. <br />BASE BID MBE GOAL: 3.92% <br />2022 Contractor Pavinu Round 1 <br />Page 1 of 1 <br />Name & Address of MBE <br />Primary Contact Person <br />I Scope of Work to be Performed <br />Dollar Amount of MBE <br />CITY OF SOUTH BEND <br />= <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />(Attach scope/schedule if you need additional space) <br />FORM MBE -1.0 <br />`— <br />MBE UTILIZATION PLAN <br />Hauling <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: 122-008 Project Name: <br />Bidder: Milestone Contractors North, Inc. <br />BASE BID MBE GOAL: 3.92% <br />2022 Contractor Pavinu Round 1 <br />Page 1 of 1 <br />Name & Address of MBE <br />Primary Contact Person <br />I Scope of Work to be Performed <br />Dollar Amount of MBE <br />I Percentage of Total <br />(Name/Telephone) <br />(Attach scope/schedule if you need additional space) <br />Component <br />Base Bid <br />Frederick "Chip" <br />Hauling <br />$14,000.00 <br />1.31% <br />C. Lee Construction Services, Inc. <br />1011 S. Lake St, Gary, IN 46403 <br />Lee <br />$10,500.00 <br />1.93% <br />V & R Trucking, Inc. <br />Veda Godette <br />Hauling <br />$14,000.00 <br />1.31% <br />1845 N. Elmer St, South Bend, IN 46628 <br />1 93o�a <br />V & R Trucking, Inc. Veda Godette Hauling <br />1845 N. Elmer St, South Bend, IN 46628 <br />1st Class Logistics, Inc. <br />2213 St. Charles Ave, <br />Bernard Coutee <br />Hauling <br />$14,000.00 <br />1.31% <br />South Bend. IN 46614 <br />ALTERNATE #1 MBE TOTALS <br />$21,000.00 <br />3.86% <br />BASE BID MBE TOTALS <br />$42,000.00 <br />3.93% <br />ALTERNATE #1 MBE GOAL: 3.85% <br />Name & Address of MBE <br />Primary Contact Person <br />Scope of Work to be Performed <br />Dollar Amount of MBE <br />Percentage of Total <br />(Name/Telephone) <br />(Attach scope/schedule if you need additional space) <br />Component <br />Alternate #1 Bid <br />1st Class Logistics, lnc. <br />Bernard Coutee <br />Hauling <br />2213 St. Charles Ave, <br />$10,500.00 <br />1.93% <br />South Bend. IN 46614 <br />$10,500.00 <br />1 93o�a <br />V & R Trucking, Inc. Veda Godette Hauling <br />1845 N. Elmer St, South Bend, IN 46628 <br />ALTERNATE #1 MBE TOTALS <br />$21,000.00 <br />3.86% <br />Version 10/28/21 Contractor's Bid for Public Works - 11 <br />