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CITY OF SOUTH BEND oe4O Fry - <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY <br />DEVELOPMENT PROGRAM <br />y\ ht s <br />FORM MWBE-2.1 <br />MBElWBE CONTACTED ue- <br />This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects <br />requiring contacted MBENVBE 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 XK 2 OF 2 <br />Project Number: 116-026 MBEJWBE Participation Goal 7.1% <br />Project Name: 2016 Manhole and Sewer Lining <br />Bidder: Selge Construction Co., Inc. - <br />By: Robert P.Kuhns,Project Engineer 12/22/16 <br />(Signature) (Title) (Date) <br />MBE/WBE Firm Culy Contracting <br />Owner or Contact at MBEM/BE Firm Jon Moore <br />Telephone: 765-584-8509 Fax: 765-584-8060 Email: jonm@culycontracting.com <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Manhole cleaning & lining <br />RESULTS OF CONTACT WITH THE MBENVBE FIRM: <br />Received Quote <br />MBE/WBE Firm <br />Owner or Contact at MBE/WBE Finn <br />Telephone: Fax: Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE MBEIWBE FIRM: <br />Version 7/28/2016 Contractor's Bid for Public Works - 10 <br />