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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM MBE-2.1�.s` <br />WBE 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 />PAGEOF� <br />Project Number: 120-026 MBE Participation Goal -7 <br />Project Name: Airport Annexation Area Water Main Extension <br />Bidder: an 4 l4, x, <br />By: O e <br />(5i atur (Title) (Date) <br />MBE Firm a, C / <br />Owner or Contact at MBE Firm %�. [ c!'.s <br />Telephone: �' _ �R Fax: Sly, � /7y Email V' -4/e lop <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />r • ri- c' �,,r <br />RESULTS OF CONTACT WITH THE MBE FIRM; <br />�' C_�Qvt�c� <br />MBE Firm <br />Owner or Contact at MBE Firm c3 C <br />��� <br />4 <br />Telephone: S -7y, Fax: sly _ 3y b 7 y Email: F• �", Jor <br />ua t <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />-� (.A� <br />RESULTS OF CONTACT WITH THE MBE FIRM: <br />Version 08/25/2021 CONTRACTOR'S BID FOR PUBLIC WORK -14 <br />