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;,31 Tn 9f <br />CITY OF SOUTH BEND la <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: 123-021 Project Name: 2023 Contractor Paving Round- <br />1-Bidder: Milestone Contractors North, Inc. Total Bid Amount: $1.238,400.00 <br />Name & Address of MBE Primary Contact Person <br />(Name/Telephone) <br />C. Lee Construction Services, Inc. Frederick "Chip" Lee <br />1011 S. Lake Street 219-922-7733 <br />Gary, IN 46403 <br />1st Class Logistics, LLC Bernard Coutee <br />24423 IN 23 574-993-0071 <br />South Bend, IN 46614 <br />Submitted by: Dustin P. Hilary, Director of Estimating <br />Print Name <br />Scope of Work to be Performed <br />(Attach scope/schedule if you need additional space) <br />Hauling <br />Hauling <br />Version 09/29/2021 Contractor's Bid for Public Works - 9 <br />MBE Goal: 4.22% <br />Page 1 of 1 <br />Dollar Amount of MBE Percentage <br />Component of Total <br />Bid/Pro osal <br />$44,000.00 1 3.55% <br />$8,300.00 1 0.67% <br />4/11 /2023 <br />Date <br />