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CITY OF SOUTH BEND 450UTHy f <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY <br />• DEVELOPMENT PROGRAM <br />FORM MWBE-2.1 <br />MBEIWBE CONTACTED eis <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 1 OF <br />Project Number: 116-053 MBE/WBE Participation Goal <br />Project Name: Calvert Street Lift Station Replacement <br />Bidder: Grand 'ver Construction, Inc. <br />By: �� Rick Parcheta Vice President of Commercial December 8 2016 <br />(Signature) (Title) (Date) <br />MBE/WBE Firm Cazares Concrete LLC <br />Owner or Contact at MBE/WBE Firm Francisco Cazares <br />Telephone: (765) 649-7159 Fax: (765) 649-7281 Email: francisco@cazaresconcretellc.com <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Excavation / Site Preparation <br />• <br />RESULTS OF CONTACT WITH THE MBE/WBE FIRM: <br />MBEANBE Firm Hawk Enterprises, Inc. <br />Owner or Contact at MBEANBE Firm Johanna Plank <br />Telephone: (219) 662-8090 Fax: (219) 662-8093 Email: joann@hawk-inc.com <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Excavation / Site Preparation <br />RESULTS OF CONTACT WITH THE MBE/WBE FIRM: <br />l I <br />Version 10/18/2016 Contractor's Bid for Public Works - 11 <br />