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CITY OF SOUTH BEND''"�P°� <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY' - <br />DEVELOPMENT PROGRAM c ' <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 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 />PAGE 1 OF 2 <br />Project Number: 118-013B� MBE/WBE Participation Goal <br />Project Name: Privet Lane Culvert Replacement Project <br />Bidder e1jeStn Co., Inc.___ <br />y Robert Kuhns Prof ect Engineer 12 10 i 19 <br />B .._ <br />(Signata�re) Title �'._"°°........�-_.._._._.._�._.... <br />( ) (Date) <br />MBE/WBE Firm Slussers Green Thumb <br />Owner or Contact at MBE/WBE Firm John Williamson <br />Telephone: 574-722_3,1_Q2 Fax: =2 _ Email; tt o uSSexs.coam_.. <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />...--........ .......... <br />RESULTS OF CONTACT WITH THE MBE/WBE FIRM: <br />id too high <br />MBE/WBE Firm Inc. <br />Traffic Control Specialists <br />t <br />Owner or Contact at MBE/WBE Firm Tracey Triska <br />Telephone: 574-772 7001 Fax: 574-772 7002 Email: estimating @tespecialist.net <br />TYPE OF WORK SOLICITED FOR THIS PROJECT. <br />-.... _A ....... ....... _ quoted; bid too high .......� <br />RESULTS OF CONTACT WITH THE MBE/WBE FIRM: <br />Version 10/17/2017 Contractor's Bid for Public Works - 11 <br />