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CITY OF SOUTH BEND L) x <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN x f6i` n <br />FORM MBE-1.0 8 '. <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: <br />Bidder <br />122-059R Project Name: Angela Boulevard Roadway Improvements <br />Milestone Contractors North, Inc. <br />Name & Address of MBE Primary Contact Person <br />(Name/Telephone) <br />C. Lee Construction Services, Inc. Frederick "Chip" Lee <br />1011 S. Lake Street 219-888-9564 <br />Gary, IN 46403 <br />US Hydrovac, Inc. <br />601 S Girls School Road <br />Indianapolis, IN 46231 <br />Jake Whitney <br />317-296-8003 <br />Submitted by: Dustin P. Hilary, Director of Estimating <br />Print Name <br />Total Div 2 Amount: $2,263,000.00 <br />Scope of Work to be Performed <br />(Attach scope/schedule if you need additional space) <br />Hauling <br />Storm Structure Cleaning (Hydro -Vac) <br />***Goals shodtd be calculated based on the Base Bid only.*** <br />MBE Div 2 Goal: 2.656% <br />Page 1 of 1 <br />Dollar Amount of MBE Percentage <br />Component of Total <br />_ ,Bid/Proposal <br />$18,000.00 0.80% <br />$42,500.00 1 1.88% <br />10/24/2023 <br />Date <br />