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CITY OF SOUTH BEND oesp9T"°s <br />ryQ il <br />. MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY F C, <br />DEVELOPMENT PROGRAM iu <br />r7 '` +}J <br />FORM MWBE-2.1 ✓ <br />MBE/WBE CONTACTED lic <br />This completed form should be supplied with Bids that pertain to City of South Bend PubWorks Projects <br />requiring contacted MBEANBE 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 i0.Q Rick Parcheta Vice President of Commercial December. 8 2016 <br />(Signature) (Title) (Date) <br />MBE/WBE Firm King's Trucking & Excavation Inc. <br />Owner or Contact at MBE/WBE Firm Linda King <br />Telephone: (812) 522-6973 Fax: (812) 523-8484 Email: Iinda@kingstrucking.net <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Water and Sewer Line <br />• <br />RESULTS OF CONTACT WITH THE MBEIWBE FIRM: <br />• <br />MBE/WBE Firm Marmoleio Contractors, Inc. <br />Owner or Contact at MBEANBE Firm Edward Marmolejo <br />Telephone: (909) 915-8391 Fax: N/A Email: bravopacific@hotmall.com <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Water and Sewer Line <br />RESULTS OF CONTACT WITH THE MBE/WBE FIRM: <br />Version 10/18/2016 Contractor's Bid for Public Works - 11 <br />