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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN 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 participa.IVII. I. 10 <br />the bidder's sole responsibility to verify whether any listed minority -owned business meets the MBE qualifications. <br />Project Number: 123-040 Project Name: VPA Athletic Court Renovation, Phase 3, 2023 <br />Bidder: Milestone Contractors North, Inc. Total Bid Amount: S1.196,595.55 MBE Goal: 1.9% <br />Page 1 of 1 <br />Name & Address of MBE <br />Primary Contact Person <br />(Namelrelephone) <br />Scope of Work to be Performed <br />(Attach scope/schedule if you need additional space) <br />Dollar Amount of MBE <br />Component <br />Percentage of <br />Total <br />Bid/Proposal <br />C. Lee Construction Services, Inc. <br />1011 S. Lake Street <br />Frederick "Chip" Lee <br />219-922-7733 <br />Hauling <br />$12,000.00 <br />1.00% <br />Gary, IN 46403 <br />1st Class Logistics, LLC. <br />24423 IN 23 <br />Bernard Coutee <br />574-933-0071 <br />Hauling <br />$12,000.00 <br />1.00% <br />South Bend, IN 46614 <br />Submitted by: Dustin P. Hilary, Director of Estimating <br />Print Name J <br />Version 4/2/2019 Contractor's Bid for Public Works - <br />4/11 /2023 <br />Date <br />