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CITY OF SOUTH BEND ' <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN ey �,. <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: 122-016A Project Name: Johnson & Fellows Intersection Drainage Improvement Project <br />Bidder: Milestone Contractors North, Inc. Total Bid Amount: $354,000.00 MBE Goal: 1.2% <br />Page 1 of 1 <br />Primary Contact Person Scope of Work to be Performed Dollar Amount of MBE Percentage <br />Name & Address of MBE (Name/Telephone) (Attach scope/schedule if you need additional space) Component of Total <br />Bid/Pro osal <br />C. Lee Construction Services, Inc. Frederick "Chip" Lee Hauling $4,300.00 1.21% <br />1011 S. Lake Street 219-922-7733 <br />Gary, IN 46403 <br />Submitted by: Dustin P. Hilary, Director of Estimating G r z___ 5/9/2023 <br />Print Name nature Date <br />Version 09/29/2021 Contractor's Bid for Public Works - 9 <br />