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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM MBE-1.0 r <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 />***Goals should be calculated based on the Base Bid only.*** <br />Project Number: 122-059R Project Name: Angela Boulevard Roadway Improvements <br />Bidder: Milestone Contractors North, Inc. Total Div 1 Amount: $978,000.00 <br />Name & Address of MBE Primary Contact Person I Scope of Work to be Performed <br />(Name[Telephone) (Attach scope/schedule if you need additional space) <br />' C. Lee Construction Services, Inc.Frederick "Chip" Lee Hauling <br />1011 S. Lake Street 219-922-7733 <br />Gary, IN 46403 <br />US Hydrovac, Inc. <br />601 S Girls School Road <br />Indianapolis, IN 46231 <br />Jake Whitney Storm Structure Cleaning (Hydro -Vac) <br />317-296-8003 <br />Submitted by: Dustin P. Hilary, Director of Estimating <br />Print Name <br />***Goals shood be calculated based on the Base Bid only.*** <br />MBE Div 1 Goal: 3.216% <br />Page 1 of_ 1 <br />Dollar Amount of MBE Percentage <br />Component of Total <br />$18,000.00 1 1.84% <br />$13,600.00 1 1.39% <br />10/24/2023 <br />Date <br />