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CITY OF SOUTH BEND j,b95°- xBFtio` <br />• MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY hr, <br />DEVELOPMENT PROGRAMbl 1: <br />FORM MWBE-2.1 <br />MBEJWBE 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 jI 0 Rick Parcheta. Vice President of Commercial December 8. 2016 <br />MBEM/BE Firm 7Gen Construction. LLC <br />Owner or Contact at MBEIWBE Firm Troland Clay <br />Telephone: (574) 289-7700 Fax: N/A Email: riarkas@7gen-gc.com <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Water and Sewer Line <br />• <br />RESULTS OF CONTACT WITH THE MBEWBE FIRM: <br />MBE/WBE Firm Atlas Excavating, Inc. <br />Owner or Contact at MBEM/BE Firm Tina Dillon <br />Telephone: (765) 429-4800 Fax: (765) 429-6464 Email: tinad@atlasexcavating.com <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Water and Sewer Line <br />RESULTS OF CONTACT WITH THE MBEM/BE FIRM: <br />• <br />Version 1011812016 Contractor's Bid for Public Works - 11 <br />