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4XV154V JYA <br />CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY M 91 <br />DEVELOPMENT PROGRAM <br />FORM MWBE-2.1 <br />MBE/WBE CONTACTED <br />This completed form should be supplied with Bids that pertain to City of South Bond 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 />OEM= <br />Project Narne <br />Bidder: <br />PAGE OF- <br />119-069A MWBE Participation Goal <br />WWTP Final d-arifier'Nos. 4-5, Aeration Tank Nos. 1-4 and Disinfection <br />Improvements <br />KokosinIndustrial, Inc. <br />�L d R. Lampe, Vi <br />By� -A,,-";L_Cha ce President September 22 2020 <br />(Signaihe; I (Tifle) (Date) <br />MWBE Firm <br />Owner or Contact at MWBE FIrm <br />Telephone: Fax: Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE MWBE FIRM: <br />MWBE Firm <br />Owner or Contact at MWBE Firm <br />Telephone: Fax: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE MWBE FIRM: <br />03029045.0000 0041 13-15 <br />