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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY <br />DEVELOPMENT PROGRAM <br />FORM MWBE-2.1 <br />MBEfWBE CONTACTED <br />This completed form should be supplied with Bids that pertain to City of South Rend Public Works Projects <br />requiring contacted MBE/WBF to obtain Good Faith Efforts. It Is the bidder's sole responsibility to verify <br />whether any listed minority or woman business meats the qualifications of a Minority or Woman's owned <br />business. PAGE .1OF 1 <br />Project Number: 118.057 Project Number: 118-067 <br />Project Name: "'Berlin Place — Site Concrete, Landscape Plantings, and Bldg. 4 Roof Pavers" <br />Bidder: Rieth-Rilely, Construction Co., Inc, <br />By: Sales Manager June 112, 2018 <br />(Signature)- dosKWA,b-rmick (Title) (Date) <br />MBEIWBE Firm <br />Owner or Contact at MBE/WBE Firm <br />Telephone; Fax: Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE MBE/WBE FIRM: <br />MBEIWBE Firm <br />Owner or Contact at MBEIWBE Firm <br />Telephone: Fax: Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE MBE/WBE FIRM: <br />Version 10/17/2017 Contractor's Bid for Public Works - 12 <br />