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RR <br />CITY OF SOUTH BEND ya)°i., <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY o! <br />w r <br />DEVELOPMENT PROGRAM �^EI <br />FORM MWBE-2.1 <br />EVIDENCE OF GOOD FAITH EFFORTS` <br />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 4 OF_21__ <br />Project Number: 116-050 R MBE/VVBE Participation Goal <br />Project Name: WWTP Digester Gas Utilization Design <br />Bidder: Thieneman Construction, Inc. _ <br />By: Vince J. Rock - Area Mana er 12/8/2016 <br />(Signature) (Title) (Date) <br />MBENVBE Firm C. Lee Construction <br />Owner or Contact at MBE/WBE Firm Frederick Lee <br />Telephone: 219-922-7733 Fax: Email: c.lee2859(a)sbcglobal.net <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Demolition <br />RESULTS OF CONTACT WITH THE MBENVBE FIRM: <br />MBE/WBE Firm Ritschard Bros., Inc. <br />Owner or Contact at MBENVBE Firm Rachelle Dolniak <br />Telephone: 574-288-4777 Fax: Email: rit1204adatacruz.com <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Demolition <br />RESULTS OF CONTACT WITH THE MBENVBE FIRM: <br />(END OF SECTION) <br />SB W WTP Digester Gas Utilization Design <br />Project No. 116-050 00 45 36-7 Version 7/31/2015 <br />