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Lrr <br />CITY OF SOUTH BEND 1 <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM MBE-1.0 <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: 123-012 Project Name: High Street Sidewalk Project <br />Bidder- Milestone Contractors, L.P. Total Bid Amount: $217,330.00 <br />Name & Address of MBE Primary Contact Person <br />(Name/Telephone) <br />Scope of Work to be Performed <br />(Attach scope/schedule if you need additional space) <br />C. Lee Construction Services <br />1011 S Lake Street Chip Lee <br />Gary, IN 46403 219-888-9554 <br />Submitted By: �d-lt�►� 1'-tT1�[�-.;., ., �Zign <br />Printed Name i ature <br />Trucking <br />r <br />***Goals should be calculated based on the Base Bid only.*** <br />MBE Goal: 3.18% 3.17% <br />Page 1 of 1 <br />Dollar Amount of MBE f rercentac <br />Component I Total <br />$6,900.00 f 3.17% <br />Date <br />Version 07/19/2023 Contractor's Bid for Public Work - 8 <br />