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ovrxe <br />CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY <br />• DEVELOPMENT PROGRAM <br />FORM MWBE-2.1 =r 7+ <br />MBE/WBE CONTACTED <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 River Construction, Inc. <br />By: _Signature on Page 1 j t / Rick Parcheta. Vice President of Commercial December 8 2016 <br />(Signature) (Title) (Date) <br />MBEfWBE Firm Indiana Sign & Barricade. Inc. <br />Owner or Contact at MBE/WBE Firm Janet Schutt <br />Telephone: (317) 377-8000 Fax: (317) 377-8008 Email: <br />jsch utt@ i ndianasb. 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 Mezzetta Construction Services Inc. <br />Owner or Contact atMBE/WBE Firm Darlene Mezzetta <br />Telephone: (317) 328-8003 Fax: (317) 328-8013 Email: darlenem@mezzettainc.com <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Electrical <br />RESULTS OF CONTACT WITH THE MBE/WSE FIRM: <br />• <br />Version 10/18/2016 Contractor's Bid for Public Works - 11 <br />