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CITY OF SOUTH BEND"'����� <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY x �, <br />DEVELOPMENT PROGRAM <br />FORM MWBE-2.1 <br />MBEIWBE CONTACTED rwS� <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. 1 PAGE of ° i1`1Y1 .+ <br />.•. <br />Project Number 115 053E MBENVBE Participation Goal � <br />Project Name: v ConversionITof ColfaxITAvenue — Phase II+TF� <br />_... .......�.............. .................. <br />Bidder: Kell Inc. <br />..__...... ................................................................................. <br />._____ ., <br />B " TM VP of South Bend Area 11/2 /� M,�• �". <br />Y _... .re _ Dustin Hil ... .....� . ...... .... ..... .� <br />' ary (Title) _.. _ _...... (Date) <br />/W'BE Firm .............. .... <br />H.a.w.k Enterp.rises,......n.�.:...........__....._..................... <br />....... <br />............................... <br />........ <br />............. <br />................. <br />Owner or Contact at MBE/WBE Firm Ries Plank <br />21.9-662.-8090...------ 21IT9-662.-8093.__. Email: ries@hawk-inc.com <br />Telephone: ax: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />...Deco.ive.ITLighti9g____... . ............. .... ...... ......... ____ .... ...... <br />�. <br />RESULTS OF CONTACT WITH THE MBE/WBE FIRM: <br />If Walsh & Kelly, Inc. is awarded the project, we'll enter into a subcontract with Hawk <br />EnterDrises. Inc. <br />MBE/WBE Firm State Barricadina. Inc, <br />Owner or Contact at MBE/WBE Firm James Michalski <br />Telephone: 574-287-2078 Fax: 574-287-1744 Email: STATEBARRICADE1@aol.com <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Traffic Control/Maintaining of Traffic <br />RESULTS OF CONTACT WITH THE MBE/WBE FIRM: <br />If Walsh & Kelly, Inc. is awarded the pr9ject, we'll enter into a subcontract with State <br />Barricading, Inc. <br />Version 4/2/2019 Contractor's Bid for Public Works - 15 <br />