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a <br />o <br />CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM MBE -2.1 <br />MBE 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-owned business meets the MBE qualifications. Attach additional pages if necessary. <br />PAG E i OF _ <br />Project Number: 120-026 MBE Participation Goal L`I` D <br />Project Name: , Airport Annexation Area Water Main Extension <br />Bidder: C. a r � � 7„ <br />By: o_ <br />Signature (Title) (Date) <br />MBE Firm I , <br />Owner or Contact at MBE Firm <br />Telephone: Sr- 7-t _ ' y3 4 7 { Fax: Email: L IBJ C�,�f�1(, s d 7 ��.. /• �� ,— <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />t <br />RESULTS OF CONTACT WITH THE MBE FIRM: <br />MBE Firm vole <br />Owner or Contact at MBE Firm <br />Telephone: S7Y Fax: S 7y ,4,7Y • o 7r 8 Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />�`•� <br />RESULTS OF CONTACT WITH THE MBE FIRM: <br />Version 08/25/2021 CONTRACTOR'S BID FOR PUBLIC WORK - 14 <br />