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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM MWBE-2.1 <br />MBE CONTACTED <br />This completed form should be supplied with Bids that pertain to City of South Bend Public Works <br />Projects requiring Good Faith Efforts to contact MBEs. It is the bidder's sole responsibility to verity whether <br />any listed minority or woman business meets the MBE qualifications. Attach additional pages if necessary. <br />PAGE OF <br />Project Number: 121-020 MBE Participation Goal 4.3% <br />Project Name: 2021 Crack Sealing <br />Bidder: <br />By: ^��cY- <br />(Signature) '� (Title) [ (Date) <br />MBE Firm �`%ie,�4 K) ' t IS p �0, `+ <br />Owner or Contact at MBE Firm -b 16 0-1 T)i�q <br />Telephone: .3 63 . Ll 1�j,L, Fax: Email: Ail ° L., o Q � <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />d+ <br />RESULTS OF CONTACT WITH THE MBE FIRM: <br />MBE Firm <br />Owner or Contact at MBE Firm <br />Telephone: Fax: Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE MBE FIRM: <br />Version 1/13/2021 Page - 21 Public Works Quote <br />