Opening of Bids - Southeast Neighborhood Center (United Way) Proj No. 119-093R - The Robert Henry Corporation

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This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects requiring Good Faith Efforts to contact MBEs. It is the bidder's sole responsibility to verify whether any listed minority or woman business meets the MBE qualifications. Attach additional pages if necessary. PAGE OF Project Number: 119-093R MBE Participation Goal 2.6% Project Name: Southeast Neighborhood Center JUnited Way) Bidder: The Robert Henry Corporation By. Brian S. Henry, President July 13, 2021 CITY OF SOUTH BEND (Title) (Date) MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM MWBE-2.1z.-'' MWBE CONTACTED Furnishing of Electrical Material This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects requiring Good Faith Efforts to contact MBEs. It is the bidder's sole responsibility to verify whether any listed minority or woman business meets the MBE qualifications. Attach additional pages if necessary. PAGE OF Project Number: 119-093R MBE Participation Goal 2.6% Project Name: Southeast Neighborhood Center JUnited Way) Bidder: The Robert Henry Corporation By. Brian S. Henry, President July 13, 2021 (Signa ure) (Title) (Date) MBE Firm First E ectric Supply Owner or Contact at MBE Firm John Cox Telephone: 317-931-3675 Fax: 317-931-3681 Email: johns@firstelectricsupply.com TYPE OF WORK SOLICITED FOR THIS PROJECT: Furnishing of Electrical Material RESULTS OF CONTACT WITH THE MBE FIRM: N6 64:f— MBE Firm Jackson Demolition Services Owner or Contact at MBE Firm Dave Jackson Telephone: 574-542-2871 Fax: TYPE OF WORK SOLICITED FOR THIS PROJECT: Demolition RESULTS OF CONTACT WITH THE MBE FIRM: Email: Jacksons@pwrtc.com 1RP—o MA 0 acre Version 01/13/2021 Contractor's Bid for Public Works -13