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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY <br />DEVELOPMENT PROGRAM <br />FORM MWBE-,2.1 <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 MBEIWBE 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: 117-0�71A MBEIWBE Participation Goal 7.3% <br />Project Name: Ironwood Drive Pavement Rehabilitation and Intersection <br />Bidder: VV@Ish & Kelly, Inc. % <br />BY: ��V8 4N��� South Bend Operations Manager 2127/11,_. <br />Aignatu nn J. Bauer (Title) (Date) <br />MBE/WBE Firm Traffic Control Specialists, Inc. <br />D I <br />Owner or Contact at MBE/WBE Firm —Tracey Triska logo 601$%10,0 <br />Telephone: 574-772-7001 Fax: 574-772-7002 Email: tcsinc@tcsspecialists.net <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Permanent Paving Markings <br />RESULTS OF CONTACT WITH THE MBEANBE FIRM',: <br />Will Perform Work <br />MBEANBE Firm V & R Trucking, Inc. <br />Owner or Contact at MBE/WBE Firm Veda Godette <br />Telephone: 574-234-1268 Fax: 574-274-0748 Email: rfightingirish@aol.com <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Hauling Millings - RMA <br />RESULTS OF CONTACT WITH THE MBE/WBE FIRM: <br />Will Perform Work <br />Version 10/17/2017 Contractor's Bid for Public Works - 14 <br />