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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: 120-014 MBE Participation Goal 2.5% (Base Bid) <br />Project Name <br />Bidder: <br />By: <br />(Signature) <br />Potawatomi Zoo Parking Lot <br />(Title) <br />(Date) <br />MBE Firm (- ( ; (0r .t%. ' <br />Owner or Contact at MBE Firm ° � r GQJe <br />Telephone: - %3 - ;' Fax: Email: ` 4 5 �� ; E$r o(,3 <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE MBE FIRM:+tiJ1 �ode-SeJ <br />MBE Firm <br />Owner or Contact at MBE Firm <br />Telephone: Fax: Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE MBE FIRM: <br />Version 10/28/2021 Contractor's Bid for Public Works - 19 <br />ytf ;ip <br />CITY OF SOUTH BEND <br />5,x,;...,4 - ,w <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />�. <br />FORM MBE -2.1 <br />------------- <br />MBE CONTACTED (BASE BID) <br />This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects <br />requiring Good Faith Efforts to contact MBEs. It is the bidder's sole responsibility to verify whether any listed <br />minority-owned business meets the MBE qualifications. Attach additional pages if necessary <br />PAGE I OF <br />Project Number: 120-014 MBE Participation Goal 2.5% (Base Bid) <br />Project Name <br />Bidder: <br />By: <br />(Signature) <br />Potawatomi Zoo Parking Lot <br />(Title) <br />(Date) <br />MBE Firm (- ( ; (0r .t%. ' <br />Owner or Contact at MBE Firm ° � r GQJe <br />Telephone: - %3 - ;' Fax: Email: ` 4 5 �� ; E$r o(,3 <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE MBE FIRM:+tiJ1 �ode-SeJ <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 10/28/2021 Contractor's Bid for Public Works - 19 <br />