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r U <br />'�� <br />CITY OF SOUTH BEND w .''1 <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM MBE-1.0 f <br />MBE UTILIZATION PLAN 1 <br />WO <br />This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects involving MBE <br />participation. It is the bidder's sole responsibility to verify whether any listed minority -owned business meets the MBE qualifications. <br />Project Number: <br />Bidder: <br />122-049 <br />Project Name: Cleveland Road and Ameritech Drive Intersection Improvements <br />Milestone Contractors North, Inc. Total Bid Amount: $1.281,000.00 <br />Name & Address of MBE <br />i <br />C. Lee Construction Services, Inc. <br />1011 S. Lake Street <br />Gary, IN 46403 <br />Primary Contact Person <br />(Name/Telephone) <br />Scope of Work to be Performed <br />(Attach scope/schedule if you need additional space) <br />Frederick "Chip" Lee I Hauling <br />219-922-7733 <br />MBE Goal: 3.53% <br />Page 1 of 1 <br />Dollar Amount of MBE Percentage <br />Component of Total <br />Bid/Proposal <br />$46,000.00 1 3.59% <br />Submitted by: Lynn J. Bauer, VP/Area Manager, South Bend 8/22/2023 <br />Print Name Signature Date <br />Version 09/29/2021 Contractor's Bid for Public Works - 9 <br />