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Division 4 — MBE Goal <br />Name & Address of MBE <br />C. Lee Construction Services, Inc. <br />1011 S. Lake Street <br />I Gary, IN 46403 <br />CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM MBE-1.0 <br />MBE UTILIZATION PLAN <br />2.09% <br />TPrimary Contact Person <br />Division 4 Bid Amount: $107 139.60 <br />Scope of Work to be Performed <br />(Attach scope/schedule if you need additional space) <br />Frederick "Chip" Lee Hauling <br />219-922-7733 <br />Division 5 — MBE Goal: 2.88% <br />Division 5 Bid Amount: $299,665.20 <br />Dollar Amount of MBE <br />Component <br />$2,300.00 <br />Percentage of <br />Total <br />2.15% <br />Name & Address of MBE <br />Primary Contact Person <br />(Name/Telephone) <br />Frederick "Chip" Lee <br />Scope of Work to be Performed <br />(Attach scope/schedule if you need additional space) <br />Dollar Amount of MBE <br />Component <br />Percentage of <br />Total <br />Bid/Proposal <br />C. Lee Construction Services, Inc. <br />Hauling <br />$8,800.00 <br />0 <br />2.94 /o <br />1011 S. Lake Street <br />219-922-7733 <br />Gary, IN 46403 <br />Submitted by: Dustin P. Hilary, Director of Estimating. 7/9/2024 <br />Print Name Griffith -South Bend Ignature Date <br />Version 03/15/2024 Contractor's Bid for Public Works - 13 <br />