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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 />PAGE I OF _ <br />Project Number: 120-026 MBE Participation Goal <br />Project Name/ Airport Annexation Area Water Main Extension <br />Bidder: /I.1 ri. ... � �� -I, <br />By•'d v a -k C. G res�' c� _11-& �— �.3 <br />igna ure)(Title) (Date) <br />/11 <br />MBE Firm �� �` �r,�, • J <br />Owner or Contact at MBE Firm <br />Telephone: � ! ' r%4y%SSV Fax: -A�,�- YX EnAil: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT:' <br />Wcif_/1, n,:. <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 08/25/2021 CONTRACTOR'S BID FOR PUBLIC WORK - 14 <br />CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />r <br />. <br />FORM MBE -2.1 <br />- <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 />PAGE I OF _ <br />Project Number: 120-026 MBE Participation Goal <br />Project Name/ Airport Annexation Area Water Main Extension <br />Bidder: /I.1 ri. ... � �� -I, <br />By•'d v a -k C. G res�' c� _11-& �— �.3 <br />igna ure)(Title) (Date) <br />/11 <br />MBE Firm �� �` �r,�, • J <br />Owner or Contact at MBE Firm <br />Telephone: � ! ' r%4y%SSV Fax: -A�,�- YX EnAil: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT:' <br />Wcif_/1, n,:. <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 08/25/2021 CONTRACTOR'S BID FOR PUBLIC WORK - 14 <br />