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CITY OF SOUTH BEND'��'�� <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY <br />1—'x,;� <br />DEVELOPMENT PROGRAM <br />FORM MWBE-2.1s <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 MBE/WBE 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 />Project Number: 118-072 <br />Project Name: <br />Bidder: <br />By: <br />attar <br />MeiMBE Firm <br />Unlev Avenue and Fremont Park <br />KeII Inc._ <br />._ VP of Soot <br />n Hilary (Title) <br />Owner or Contact at MBE/WBE Firm Jane Strasser <br />PAGE 1 OF 1 <br />MBE/WBE Participation Goal <br />Telephone: 574-722-3102 Fax: Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Seeding & Erosion Control Blanket <br />RESULTS OF CONTACT WITH THE MBE/WBE FIRM„ <br />,wtttt,tiiP®®� <br />Area 1 1'11tl� rc ......... <br />(Date �,r�RATE <br />r <br />rc 1 <br />jes@slussers.com 110.4 1 <br />If Walsh & Kelly, Inc. is awarded the rp o�ect(s , the subcontractor will perform the work <br />MBENVBE Firm State Barrlcadi� Inc, .................... ..... <br />Owner or Contact at MBENVBE Firm <br />chalski <br />Telephone: 574-287-2078 Fax: 574-287-1744 Email: statebarricade1 cDaol.com <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Equipment rental for maintaining of traffic <br />RESULTS OF CONTACT WITH THE MBENVBE FIRM: <br />If & Kelly, Inc. is awarded the project(s), the will be contracted .Walsh.. Khe subfor equipment <br />....._ ..��.....��..�..�_.............................. <br />rental. <br />Version 7/20/2018 Contractor's Bid for Public Works - 12 <br />