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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY <br />DEVELOPMENT PROGRAM <br />FORM MWBE-2.1 <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 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. <br />PAGE 1 OF 1 <br />Project Number: 118-058 <br />MBEIWBE Participation Goal .0044% <br />Project Name/Great Lakes Capital Spec Building, 5545 Chet Waggoner Court <br />Bidder: Wa4sh & K Inc. <br />By. VP of South Bend Area 9/25/18 ���� g,. I~C �a� � <br />( gnature} US <br />tin Hilary (Title) (Date)oOONIIc $a.•^°®° �, <br />M IWBE Firm V & R Trucking, Inc. _ F <br />s <br />Owner or Contact at MBEIWBE Firm Veda Godette °� e <br />Telephone: 574-234-1268 Fax: 574-234-0748 Email: Rfightingirish@aal.com� <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Hauling - Partial <br />RESULTS OF CONTACT WITH THE MBEIWBE FIRM: <br />They will perform the work if awarded the ro'ect. <br />MBEIWBE Firm C. Lee Construction Services Inc. <br />Owner or Contact at MBEIWBE Firm Chip Lee <br />Telephone: 219-922-7733 Fax: 219-888-9564 Email: chip@cleesci.com <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Haulina - Partial <br />RESULTS OF CONTACT WITH THE MBEIWBE FIRM: <br />They will perform the work if awarded the project. <br />Version 7/2012018 Contractor's Bid for Public Works -10 <br />