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CITY OF SOUTH BEND oYsn6S1f a,w <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY <br />DEVELOPMENT PROGRAM <br />Iw � <br />FORM MWBE-2.1 <br />MBE(WBE CONTACTED robs <br />This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects <br />requiring contacted MBEIWBE to obtain Good Faith Efforts. It is the bidder's sole responsibility to verity <br />whether any listed minority or woman business meets the qualifications of a Minority or Women`s owned <br />business. <br />PAGE.__i_OF 1 <br />Project Number. 116-089 MBENVBE Participation Goal 1 <br />Project Name: Berlin Place Site Development <br />Bidder: G.E. Marshall, Inc. <br />By: President _ _____ _ <br />(Signature) (Title) (Date) <br />MBEWBE Finn Premium Concrete <br />Owner or Contact at MBE/BE Frm <br />Telephone: 574-264-0196 Fax' 574-266-5392 Lm Ii. <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Concrete sidewalks,. pavements curbs, ramps, -.,and retaining. wall. Asghaltbinder_and_surface <br />pavement. <br />RESULTS OF CONTACT WITH THE MBEM/BE FIRM: <br />We are using Premium Concrete. Services, Inc, in our Scope of Work. <br />MBE/WBE Firm <br />Owner or Contact at MBEWBE Firm <br />Telephone: Fax: Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT W i-H THE MBEM/BE FIRM <br />Versicn 10/1812016 Contractor's Bid for Public Works - i t <br />