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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY <br />DEVELOPMENT PROGRAM'"' <br />M MXF y, <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 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 />Project Number: 117-093A <br />Project Name: Seitz Park Reconstru <br />Bidder:. '---? Mrrthnrn $nr hnn n, <br />Phase 1 <br />By:''� President <br />.. - President <br />(Signature) avid J. Walorski (Title) <br />MBE/WBE Firm <br />V & R Truckingmm Inc... <br />Owner or Contact at MBE/WBE Firm Veda Godette <br />PAGE 2 OF 2 <br />MBE/WBE Participation Goal <br />(Date) <br />Telephone: Fax: Email: g g @ �� <br />574-234-1268 <br />__574-234,-.0748........,, . fi htm Irish aol.com <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: Haulinc Services <br />RESULTS OF CONTACT WITH THE MBE/WBE FIRM. Received Hourly Hauling prices. <br />MBE/WBE Firm Premium„Concrete Services Inc,_ <br />Owner or Contact at MBE/WBE Firm <br />x.Yekb .. .....�. _ ...., <br />Telephone: 574 264-0196 Fax, 57 266-5392 Email: max@premiun� ncreteonline.cg <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE MBE/WBE FIRM: <br />Version 4/2/2019 Cuntrdctor's Bid for Public Works - 17 <br />