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CITY OF SOUTH BEND 3 <br />2 <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN r_ <br />FORM MBE -2.1 <br />MBE CONTACTED (ALTERNATE #1) <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 OF <br />Project Number: 120-014 MBE Participation Goal 1.5% (Alternate #1) <br />Project Name: Potawatomi Zoo Parking Lot <br />Bidder: r�- r2�1:u <br />By: � L -e ILI, <br />(Signature) (Title) (Date) <br />MBE Firm -�/4 S /04; S�, c S <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 />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 - 21 <br />