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CITY OF SOUTH BEND <br />• MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY <br />DEVELOPMENT PROGRAM <br />FORM MWBE-2.1 <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 I OF <br />Project Number: 116-053 MBE/WBE Participation Goal <br />Project Name: Calvert Street Lift Station Replacement <br />Bidder: Grand River Construction, Inc. <br />By: Signature on Page 1 a R Rick Parcheta. Vice President of Commercial December 8. 2016 <br />MBE/WBE Firm G5 Tek Solutions LLC <br />Owner or Contact at MBE/WSE Firm Terri Whitfield <br />Telephone: N/A Fax: (866) 369-7389 Email: admin@g5tek.com <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Electrical <br />• <br />RESULTS OF CONTACT WITH THE MBE/WBE FIRM: <br />MBE/WBE Firm Geo Services, Inc. <br />Owner or Contact at MBE/WBE Firm Julian Rueda <br />Telephone: (630) 305-9186 Fax: (630) 355-2838 Email: iulianrueda@geoseryicesinc.net <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Electrical <br />RESULTS OF CONTACT WITH THE MBE/WBE FIRM: <br />Version 10/1812016 Contractor's Bid for Public Works - 11 <br />