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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN` <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 -owned business meets the MBE qualifications. Attach additional pages if necessary. <br />PAGE 1 OF 1 <br />Project Number: 122-049 MBE Participation Goal 3.53% <br />Project Name: Cleveland Road and Ameritech Drive Intersection Improvements <br />Bidder: MjlestAne Contractors North Inc. <br />By: 4lrll�8/22/2023 <br />(Signature)Sauer (Title) VP/Area Manager, South Bend (Date) <br />MBE 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(Mcleecsi.com <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Haulin <br />RESULTS OF CONTACT WITH THE MBE FIRM: <br />If we're awarded the proejct, we'll enter into a Hauling Agreement C. Lee Construction Services, Inc. <br />MBE Firm <br />Owner or Contact at MBE Firm <br />Telephone: Fax: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT. <br />RESULTS OF CONTACT WITH THE MBE FIRM: <br />Email: <br />Version 09/29/2021 Contractor's Bid for Public Works - 15 <br />