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CITY OF SOUTH BEND of ur'f--8�+ <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY /i; V: <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 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 />Project Number: 116-127A MBE/WBE Participation Goal <br />Project Name: Sheridan Street and Sample Street Signal Improvements <br />Bidder: Walsh & Keliv. tnc, <br />By: <br />John M. <br />MBE/W9trfirm State Barricading, Inc. _ <br />(Title) <br />Owner or Contact at MBE/WBE Firm James Michalski <br />Telephone: 574-287-2078 Fax: Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />11/24/20.®_ �CEL(y °se <br />(Date) <br />J��pGFAT�° <br />.. Z <br />statebarricade1 CcDaol.cftom <br />ND1 <br />r111111% <br />Maintaining of Traffic & Temporary Pavement Markings <br />RESULTS OF CONTACT WITH THE MBE/WBE FIRM: <br />Upon receipt of award and contract, Walsh & Kelly, Inc. will enter into a subcontract with the <br />above-named subcontractor. <br />MBENVBE Firm Hawk Enterprises, Inc. <br />Owner or Contact at MBE/WBE Firm Gyre _Neulieb <br />Telephone: 219-662-8090 Fax: 219-662-8093 Email: greg@hawk-inc.com <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Signal Improvements, Video Vehicle Detector System (Item 41. <br />RESULTS OF CONTACT WITH THE MBENVBE FIRM: <br />Hawk Enterprises,_ Inc. unfortunately was not the lowest responsive bidder. <br />Version 4/2/2019 Contractor's Bid for Public Works - 12 <br />