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�y�r�r <br />CITY OF SOUTH BEND �-�----t,�,„,. <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY f%i <br />DEVELOPMENT PROGRAM <br />FORM MWBE-2.1 �* , <br />MBEIWBE 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 />Project 20-030 <br />Pro ect Name: 2 umber: Contra <br />Bidder: ...,&_KE <br />By .r <br />(s aturer ustin Hilary <br />PAGE 1 OF 1 <br />P IL <br />MBE/WBE Participation Goal ^"� <br />1B AfBE Firm Traffic Control Specialists <br />wner or Contact at MBE/WBE Firm Trace Tnska <br />.............. . <br />Telephone 574-772-7001 <br />Fax: ---------- Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />(Date) <br />Pavement Markin,s___ <br />RESULTS OF CONTACT WITH THE MBE/WBE FIRM: <br />If Walsh & Kelly Inc. is awarded this contract, TCS willerform scope as described above <br />MBE/WBE Firm <br />Owner or Contact at MBE/WBE Firm <br />Telephone: <br />Fax: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE MBE/WBE FIRM. - <br />Email: <br />Version 4/2/2019 Contractor's Bid for Public Works - 13 <br />