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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN :;_':5,c`= r <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 or woman business meets the MBE qualifications. <br />Project Number: 121-010 Project Name: Solid Waste Parking Lot Drainage Improvements <br />Bidder: Milestone Contractors North. Inc. Total Bid Amount: $191,400.00 <br />-T <br />Name & Address of MBE Primary Contact Person Scope of Work to be Performed ` <br />(Namerrelephone) (Attach scope/schedule if you need additional space) <br />C. Lee Construction Services, Inc. Frederick "Chip" Lee <br />1011 S. Lake Street 219-922-7733 <br />Gary, IN 46403 <br />Submitted by: Dustin P. Hilary, Director of Estimating <br />Print Name <br />MBE Goal: 1.3% <br />Page 1 of—1 <br />Dollar Amount of MBE Percentage <br />Component of Total <br />p rtW/Pm- <br />Hauling <br />$2,500.00 1 1.3% <br />-C� 12/14/2021 <br />re Date <br />Version 09/29/2021 Page - 26 Public Works Quote <br />