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CITY OF SOUTH BEND �§,$(>u ii'l '9% <br />, <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY A, <br />DEVELOPMENT PROGRAM <br />FORM IV WBE-2.1 <br />MBEtWBE CONTACTED <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. 1 1 <br />PAGE OF <br />Project Number: 117-071A MBEANBE Participation Goal 7. 1% <br />Project Name: Ironwood Drive Pavement Rehabilitation and Intersection <br />Bidder: Sel Constniction CQ-., Tnc. <br />Robert Ruhns, <br />Pr ...... ...... T7�ncii nppr 2 /27 /18 <br />(Signature) (Title) <br />(Date) <br />MBE/WBE Firm State Barricade <br />Owner or Contact at MBEANBE Firm Mary <br />Telephone: _574-287-2078 Fax: 574-287-1744 <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Email': atatebarricadel @aol. corn <br />Maintenance of Traffice <br />Temporary Striping <br />RESULTS OF CONTACT WITH THE MBEIWBE FIRM: <br />Quote Accepted <br />MBEANBE Firm Hawk Enterprises, Inc. <br />Owner or Contact at MBE/WBE Firm Greg <br />Telephone: 219-662-8090 Fax: 219-662-8093 <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Email: greg@hawk-inc.com <br />Electrical <br />RESULTS OF CONTACT WITH THE MBE/WBE FIRM: <br />Quote ACt-inni-izA <br />I <br />Version 10/1712017 Contractor's Bid for Public Works - 14 <br />