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CITY OF SOUTH BEND oasp°re aFryo <br />• MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY 4� ' <br />DEVELOPMENT PROGRAM <br />FORM MWBE-2.1 -'Y9 <br />MBEfWBE CONTACTED <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 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 MBEIWBE Participation Goal <br />Project Name: Calvert Street Lift Station Replacement <br />Bidder: Grand River Construction, Inc. <br />By: Signature on Page 1 �n 1 Rick Parcheta, Vice President of Commercial December 8. 2016 <br />MBEIWBE Firm Jetts Mechanical <br />Owner or Contact at MBE/WBE Firm James JettJr. <br />Telephone: (317) 525-2819 Fax: (866) 259-1609 Email: donald@iettelectrical-mechanical.com <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Plumbing, HVAC Mechanical <br />• <br />RESULTS OF CONTACT WITH THE MBE/WBE FIRM: <br />MSEANBE Firm Mitchell & Sons HVAC <br />Owner or Contact at MSE/WBE Firm Ila Mitchell <br />Telephone: (317) 283-0001 Fax: (317) 283-6488 Email: mitchellsonsl@att.net <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Plumbing, HVAC, Mechanical <br />RESULTS OF CONTACT WITH THE MBE/WBE FIRM: <br />• <br />Version 10/18/2016 Contractor's Bid for Public Works - 11 <br />