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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY <br />DEVELOPMENT PROGRAM <br />FORM MWBE-2.1 <br />MBE/WBE CONTACTED Ins <br />This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects <br />requiring contacted MBE/ME 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 2 <br />Project Number: 118-010B MBE/WBE Participation Goal <br />Project Nano Historic Leeper Park I r�artoerte —Bid Package 2 <br />Bidd) 6r er d o factionCompen Inc. <br />"'........_ ?� q(..... October <br />22 <br />(Title) (Date) <br />MBEIWBE Firm State Barricading, Inc. <br />Owner or Contact at MBENVBE Firm James Michalski <br />Telephone: 574-287-2078 Fax: 574-287.1744 Email: statebarricadel aq!, <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: Maintenance of Traffic & Pavement Markings. <br />- <br />RESULTS OF CONTACT WITH THE MBENVBE FIRM: <br />MBENVBE Firm <br />Owner or Contact at MBEIWBE Firm ea J. Triska <br />Telephone: 574-772-7001 Fax: 574 772 7002 Email: info tcs acjalistsa.net <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: Maintenance of Traffic & Pavement Markings. <br />RESULTS OF CONTACT WITH THE MBENVBE FIRM: <br />Version 1 /17/2019 Contractors Bid for Public Works - 50 <br />