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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM MWBE-2.11 <br />MWBE CONTACTED <br />This completed for should be supplied with Bids that pertain to City of out Bend Public Works -Projects <br />requiring Good Faith Efforts to contact Es• 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 />PAG E- 1 OF 1 <br />Project Number: 120-017 MBE Participation Goal 1.18% <br />Project Name: CSO 18 Backwater Valve Replacement <br />B i d ad: PfR P ION INC. <br />By. Matthew D. Cain, President September 14, 2021 <br />(Signature) Signature) (Title) (Date) <br />MBE Firm See Attached <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 />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 01/13/2021 Contractor's Bid for Public Works - 12 <br />