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CITY OF SOUTH BEND x <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN AACE <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 <br />is the bidder's sole responsibility to verify whether any listed minority or woman business meets the MBE qualifications. <br />Project Number: 123-049 Project Name: SBFD Parking Lot Rehab <br />Bidder: Milestone Contractors North, Inc. Total Bid Amount: $174,803.30 <br />Name & Address of MBE <br />C. Lee Constructin Services, Inc. <br />1011 S. Lake Street <br />Gary, IN 46403 <br />1 st Class Logisitcs, LLC <br />24423 IN 23 <br />South Bend, IN 46614 <br />Primary Contact Person <br />(Name/Telephone) <br />Frederick "Chip" Lee <br />Scope of Work to be Performed <br />(Attach scope/schedule if you need additional space) <br />Hauling <br />Bernard Coutee I Hauling <br />574-993-0071 <br />Submitted by: Dustin P. Hilary, Director of Estimating <br />Print Name <br />MBE Goal: 4.3% <br />Page 1 of 1 <br />Dollar Amount of MBE Percentage <br />Component of Total <br />pRirl/Drnnnc.�l <br />$3,758.28 1 2.15% <br />$2,758.28 1 2.15% <br />5/9/2023 <br />Date <br />Version 03/15/2023 Page - 25 Public Works Quote <br />