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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY <br />DEVELOPMENT PROGRAM <br />FORM MWBE-2,11 <br />MBEIWBE 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 qualfficationG of a Minority or Women's owned <br />business, PAGE 2 OF 2 <br />Project Number: 117-033A MBE/VV'BE Participation Goal - <br />Project Name: Ironwood Drive Sidewalk Edison Road to S.R. 23 <br />Bidder: Northern Construction Services, Corp. <br />12/12/2017 <br />B y: <br />(Signature) Daniel 4,,"Tkblwicltl, Jr. (Title) President (Date) <br />MBEANBE Firm Traffic Control Specialists, Inc. <br />Owner or Contact at MBEAA/BE Firm Tracey Triska <br />Telephone: 574-772-7001 Fax: 574-772-7002 Email: — tcsinc@tcspedaIists.rreet <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Provide construction signing, barricading and pavement marking. <br />RESULTS OF CONTACT WITH THE MBE/WBE FIRM: Received quotation. <br />MBEfWBE Firm Slusser's Green Thumb, Inc. <br />Owner or Contact at MBENVBE Firm Cecillia Slusser <br />Telephone: 574-722-31102 Fax: Email: cvs@slussers,corn <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: Sod installation. <br />RESULTS OF CONTACT WITH THE MBE/WBE FIRM: . Received quotation. <br />Version 1 Otl 7/2,016, Contractoft Bid for Public Works - 10 <br />