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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY v?k7i 'NE <br />DEVEILOPMENT PROGRAM �Iu <br />FORM MWBE-2.1 <br />MBEIWBE CONTACTED <br />This completed form should be supplied with Bids that pertain to City of South Bond Public Works Projects <br />requiring contacted MBEfWBE 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 />Number: 117-055A MBE/VVBE Participation Goal — 73% <br />°ncoln Way East {SR 9�3j Corridor Improvem�r��$f-ba�mple Street To <br />Project Nam <br />Bidder: <br />­ Lld , 1 1 '�M/18 <br />By: V P of S o u t h 8 ei',�d,g"re <br />/5Wnature) (Title) Date) <br />NVBE Firm <br />Traffic Control Specialists Inc. <br />Owner or Contact at MBE/\NBE Firm Kerry Kopka <br />Telephone: 574-772-7001 Fax: Email: kerry@tcspecialists. net <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Maintaining of Traffic and Pavement Markings <br />RESULTS OF CONTACT WITH THE MBE/WBE FIRM: <br />Subcontractor will perform quoted work, <br />. . ..... .. . ..... <br />MBE/WBE Firm �4nwle Enterprises, Inc. <br />Owner or Contact at MBEfWBE Firm -Ries Plank <br />Telephone: 219-662-8090 Fax: 219-662-8093 <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Signal modifications and reset sheet signs. <br />RESULTS OF CONTACT WITH THE MBE/WBE FIRM: <br />Subcontractor will Iperform <br />work. <br />Email: ries@hawk-inc.com <br />Version 7/20/2018 Contractor's Bid for Public Works - I I <br />