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CITY OF SOUTH BENDxsr�""; <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY <br />DEVELOPMENT PROGRAM <br />ILA , <br />FORM MWBE-2.1 <br />MBE/WBE CONTACTED;rw <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 —OF_� <br />Project Number: 118-013B MBE/WBE Participation Goal <br />Project Name: Privet Lane Culvert Replacement Project <br />Bidder: 4 Rieth Riley Construction Co., Inc. <br />By: <br />PM 12/10/19 <br />(Signature) (Title) (Date) <br />MBE/WBE Firm State Barricading <br />Owner or Contact at MBE/WBE Firm James Michalski <br />Telephone: 574-287-2078 Fax: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />MOT <br />Email: statebarricadei @aol.com <br />RESULTS OF CONTACT WITH THE MBEMBE FIRM: <br />MBE/WBE Firm TCS <br />Owner or Contact at MBE/WBE Firm Barry Triska <br />Telephone: (574) 772-7001 Fax: Email: barry@tcspecialists.net <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />MOT <br />RESULTS OF CONTACT WITH THE MBE/WBE FIRM„ <br />Version 10/17/2017 Contractor's Bid for Public Works - 11 <br />