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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 />Project Number: <br />Bidder: <br />122-045 <br />Project Name: <br />Milestone Contractors North, Inc. <br />Main Street Improvements Between Sherwood Street and Dean Street <br />Total Bid Amount: $398,000.00 MBE Goal: 3.21% <br />Page 1 of 1 <br />Name & Address of MBE <br />Primary Contact Person <br />(Name/Telephone) <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 <br />of Total <br />Bid/Proposal <br />1st Class Logistics, LLC. <br />24423 IN 23 <br />South Bend, IN 46614 <br />Bernard Coutee <br />574-993-0071 <br />Hauling <br />$12,800.00 <br />3.216% <br />Submitted by: Dustin P. Hilary, Director of Estimat <br />Print Name <br />Version 09/29/2021 Contractor's Bid for Public Works - 9 <br />11 /8/2022 <br />Date <br />