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CITY OF SOUTH BEND Ili ^� Vtoo <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 2 OF 2 <br />Project Number: 119-030 MBE/WBE Participation Goal <br />Project Name: Commerce Center Mixed Used Develo ment — Arch. Precast Conc, Panels <br />Bidder: High Concrete Group, LLC <br />By: Midwest Sales Manager 5/22/19 <br />(Signature) (Title) ( Date) <br />MBENVBE Firm Columbus Steel Erectors, Inc. <br />Owner or Contact at MBENVBE Firm W, Shawn Runyon <br />Telephone: 614-876-5050 Fax: 614-876-7890 Email: wsr@columbussteelerectors.com <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Precast Erection <br />RESULTS OF CONTACT WITH THE MBENVBE FIRM: <br />Not Biddi <br />MBENVBE Firm Forest City Erectors, Inc. <br />Owner or Contact at MBENVBE Firm Bernie Nowak <br />Telephone: 330-425-7185 Fax: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Precast Erection <br />RESULTS OF CONTACT WITH THE MBENVBE FIRM: <br />Not Bidding <br />Email: bnowak@forestcityerectors.com <br />Version 1/17/2019 Contractors Bid for Public Works - 12 <br />