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L ff <br />CITY OF SOUTH BEND== J <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM MBE-2.1�. <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 />PAGE ��OFQ_ <br />Project Number: 120-026 MBE Participation Goal _�--7 <br />Project Name: Ai <br />Bidder: 1411A <br />By: <br />natu <br />Annexation Area Water Main Extension <br />(Title) <br />(Date) <br />MBE Firm OI L"J S f s G.-e_T �� <br />Owner or Contact at MBE Firm TI LL ! ,{L <br />Telephone: Fax: Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE MBE FIRM: <br />d&G;tear , ly r <br />MBE Firm <br />Owner or Contact at MBE Firm 1 <br />ra A: <br />Telephone:__ Fax: _ Ley• day <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />v � <br />RESULTS OF CONTACT WITH THE MBE FIRM: <br />Ira_.ti f:i.1 tip jn71 IlA / ✓�1 G.�c J,++ <br />Version 08/25/2021 CONTRACTOR'S BID FOR PUBLIC WORK -14 <br />