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CITY OF SOUTH BEND <br />. MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY �4 <br />DEVELOPMENT PROGRAM 5 <br />.t r:Y.1�s==f�i1i <br />FORM M WBE-2.1 <br />MBE/WBECONTACTED <br />This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects <br />requiring contacted MBElWBE 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 Pape 1,1) Q Rick Parcheta, Vice President of Commercial December 8 2016 <br />(Signature) tN (Title) (Date) <br />MBE/WBE Firm TCR Rail Systems, LLC <br />Owner or Contact at MBE/WBE Firm Sandra Ramev <br />Telephone: (502) 405-3004 Fax: (502) 405-3076 Email: sramey@tcrrailsystems.com <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Electrical <br />• <br />RESULTS OF CONTACT WITH THE MBE/WBE FIRM: <br />MBENVBE Firm The Hoosier Company <br />Owner or Contact at MBE/WBE Firm Cheryl Melancon <br />Telephone: (317) 872-8125 Fax: (317) 872-7183 Email: cpmelancon@hoosierco.com <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Electrical <br />RESULTS OF CONTACT WITH THE MBEIWBE FIRM: <br />Version 10/18/2016 Contractor's Bid for Public Works - 11 <br />