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This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects <br />requiring contacted MBE/WBE to obtain Good Faith Efforts. It is the bidder's sole responsibility to verify <br />whether any listed minority or woman business meets the qualifications of a Minority or Women's owned <br />business. <br />PAGE 1 OF 2 <br />Project Number: 116-083F MBE/WBE Participation Goal 7.1 % <br />Project Name: Chippewa Avenue Emergency Repairs <br />MBEAVBE Firm Wntgomery Trucking <br />Owner or Contact at MBEAVBE Firm Karen Montgomery <br />Telephone: 260-312-2632 Fax:260-444-4069 Email:karenmontgomery56@hotmail.corn <br />TYPE OF WORK SOLICITED FOR THIS PROJECT <br />Hauling class 1 rip rap <br />RESULTS OF CONTACT WITH THE MBE/WBE FIRM: <br />Refused to haul material. <br />MBEAVBE Firm Slusser r s Green Thumb <br />Owner or Contact at MBE/WBE Firm John Williamson <br />Telephone: 574-722-3102 Fax:574-722-2993 Email: JES@slussers.com <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Sodding <br />RESULTS OF CONTACT WITH THE MBEAVBE FIRM: <br />Quote accepted. <br />Version 7/28/16 Page - 25 Public Works Quote <br />