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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY <br />DEVELOPMENT PROGRAM <br />- <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 Good Faith Efforts to contact MBEs. It is the bidder's sole responsibility to verify whether any listed <br />minority or woman business meets the MBE qualifications. Attach additional pages if necessary. <br />PAGE 1 OF 1 <br />Project Number: 119-108 MBE Participation Goal 2.43% <br />Project Name: -i Lincoln Wav West and Olive Street Intersection Improvements <br />Bidder- <br />BY' <br />idderBy• <br />Iestone Contractors Norht, Inc. <br />South Bend 5/11/2021 <br />gnature) Dustin P. Hilary (Title) (Date) <br />�j <br />%,"kE Firm Master Filter Corporation d/b/a Master Enterprises <br />Owner or Contact at MBE Firm Ronald Orr <br />Telephone: 317-545-3335 Fax: Email: rorr@masterent84.com <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Materials supplied for lighting and signal equipment <br />RESULTS OF CONTACT WITH THE MBE FIRM: <br />If Milestone Contractors North Inc. is awarded the contract we'll utilize these MBE materials installed b <br />Hawk Enterprises, Inc. <br />MBE Firm <br />Owner or Contact at MBE Firm <br />Telephone: Fax: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE MBE FIRM: <br />Email: <br />Version 1/13/2021 Contractor's Bid for Public Works - 14 <br />