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CITY OF SOUTH BEND ` <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN C. <br />FORM MBE-2.1 <br />MBE CONTACTED <br />This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects <br />requiring Good Faith Efforts to contact MBEs. It is the bidder's sole responsibility to verify whether any listed <br />minority or woman business meets the MBE qualifications. Attach additional pages if necessary. <br />PAGE 1 OF 1 <br />Project Number: 122-064R MBE Participation Goal 0.8% <br />Project Name: Central Services Parking Lot Repairs <br />Bidder le a Contractors North, Inc. <br />By: Director of Estimating 7/11/2023 <br />a ure) Dustin P.Hilary (Title) (Date) <br />MSE Firm C. Lee Construction Services, Inc. <br />Owner or Contact at MBE Firm Frederick "Chip" Lee <br />Telephone: 219-922-7733 Fax: 219-888-9564 Email: chip@cleecsi.com <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Hauling <br />RESULTS OF CONTACT WITH THE MBE FIRM: <br />If we're awarded the project, we'll enter into a Hauling Agreement with C. Lee Construction Services, Inc. <br />MBE Firm <br />Owner or Contact at MBE Firm <br />Telephone: Fax: Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE MBE FIRM: <br />Version 03/15/2023 Page - 32 Public Works Quote <br />