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CITY OF SOUTH BEND°burr <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY rFa':• , ' ` �.r <br />DEVELOPMENT PROGRAM <br />FORM MWBE-2,1 <br />VIBE CONTACTED -' <br />This completed form should be supplied with Bids that pertain to City of South Bend Public Warks Projects <br />requiring contacted MBEMBE 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 OF 1 <br />Project Number: 120-044 MBE Paffolpation Goal 2.4%. <br />Project Name: Ignition Park: EV Charging Park <br />Bidder: ieth-Riley Construction Co., Inc. <br />By: Sales Manager March 9, 2021 <br />(Signature) Ruben Alvarado (Title) (Date) <br />MBEMBE Firm <br />Owner or Contact at MBEMBE Firm <br />Telephone: Fax: Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE MBEIWBE FIRM: <br />MBE/WBE Firm <br />Owner or Contact at MBEIWBE Firm <br />Telephone: Fax: Email: <br />_�._.• ._...__... ..._._...-_ __..._._-._ -.__._., _._.._.. _.•.��._. __._.__.. .-I.....,.._. ....... _ <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE MBEIWBE FIRM: <br />Version 4I2I2019 Contractor's Bid for Public Works - t 1 <br />