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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 1 <br />Project Number: 119-103 MBE/WBE Participation Goal <br />Project Name: Gemini at Colfax ApartmeITm EXTERIOR RENOVATIONS <br />nts — . <br />Bidder: Bokon Masonry Inc. <br />By <br />....:ram. ] /0 <br />dAiCgjt!_rre_)�_ (Title) (Date) <br />MBE/WBE Firm .......... c-'ff 1ding EXpress <br />Owner or Contact atMBE/WBEFirm Contact/ Rick Perlini <br />Telephone: Fax281-890-6150 Email: ordersCscaffoldex ress.com <br />$_Q—592-171� ...__ <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Scaffolding for Sidewalk Canopy <br />RESULTS OF CONTACT WITH THE MBE/WBE FIRM: <br />Recieved Estimate <br />MBE/WBE Firm <br />Owner or Contact at MBE/WBE Firm <br />Telephone: Fax: Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE MBE/WBE FIRM: <br />Version 4/2/2019 Contractor's Bid for Public Works - 11 <br />