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CITY OF SOUTH BEND c <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM MBE-1.0 -1 <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: 122-016C Project Name: Bercliff Estates Sewer Separation Project <br />Bidder: Milestone Contractors North, Inc. Total Bid Amount: $662,940.00 MBE Goal: 2.2% <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 />C. Lee Construction Services, Inc. <br />1011 S. Lake Street <br />Gary, IN 46403 <br />Frederick "Chip" Lee <br />(219) 922-7733 <br />Hauling <br />$14,600.00 <br />2.2% <br />Submitted by: Dustin P. Hila <br />Print Name <br />Director of Estimating <br />***Goals should <br />Version 07/19/2023 Contractor's Bid for Public Works - 9 <br />based on the Base Bid only.*** <br />12/12/2023 <br />Date <br />