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CITY OF SOUTH BEND <br />^'s0 AF= <br />• MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY <br />DEVELOPMENT PROGRAM <br />`'• <br />FORM MWBE-2.1 <br />� <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 %L 0 Rick Parcheta, Vice President of Commercial Decemher A_ P01R <br />MBEJWSE Firm Parsons. Cunningham & Shartle Eng. <br />Owner or Contact at MBE/WBE Firm Cheryl Cunningham <br />Telephone: (317) 837-9900 Fax: (317) 837-9925 Email cheryl@pcsengineers.com <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Water and Sewer Line <br />• <br />RESULTS OF CONTACT WITH THE MBE/WBE FIRM: <br />MBE/WBE Firm RM Chin & Associates <br />Owner or Contact at MBEANBE Firm Eileen Chin <br />Telephone: (312) 595-2000 Fax: (312) 644-0999 Email: eileenc@rmchin.com <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Water and Sewer Line <br />RESULTS OF CONTACT WITH THE MBE/WBE FIRM: <br />• <br />Version 10/18/2016 Contractor's Bid for Public Works - 11 <br />