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64; <br />CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY M <br />DEVELOPMENT PROGRAM <br />FORM MWBE-2.1 M ; <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 1 OF 1 <br />......._ ` .�w <br />Project Number: 117- 3A _ _------------------- MBE/1NBE Participation Goal 16Ox a ��� <br />Project Name. 4i from Re er Street to Howard Parko �9� ,1`j-."• <br />...... <br />R0, <br />Bidder: Kelly, Inc. <br />......r m. <br />s a <br />BY _ :'` VP of South Bend Area I � � � m" <br />(S" nat are (Title) (Datd, <br />r <br />B Firm Hawk Enterprises, Inc........... W <br />tt <br />wrier or Contact at MBE/WBE Firm Ries Plank <br />_..a <br />Telephone: 219-6628090 Fax: 219-662-8093 Email: ties hawk-inc.com <br />_......._. ._ <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Lighting and appurtenances <br />RESULTS OF CONTACT WITH THE MBE/WBE FIRM: <br />If Walsh & Kelly Inc. is awarded the project we'll enter into a subcontract agreement with <br />�.................- ..�.................._ .._ <br />MBE/WBE Firm State Barricading, Inc. <br />Owner or Contact at MBE/WBE Firm ,fames Michalski <br />Telephone: 574 287-2078 Fax: 574-287-1744ITITITIT Email: state barricade @aol.corn <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Traffic Control Devices/MOT <br />RESULTS OF CONTACT WITH THE MBE/WBE FIRM: <br />If Walsh & Kqqy, Inc. is awarded the project,, we'll enter into a subcontract agreement with <br />State Barricadim.lnc .._________________........ ---- ................... <br />________ <br />Version 1/17/2019 Contractor's Bid for Public Works - 14 <br />