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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM MBE -2.1 <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 />PAGEJOF� <br />Project Number: 121-036 <br />Project Name: 2021 Demolitions <br />MBE Participation Goal 1.4% <br />Bidder:-// <br />By:wlAL4__;�______�6 r <br />K 0,54,! <br />r I <br />(Signature <br />(Title) <br />(Date) <br />MBE Firm --L �`� ��irJ;S <br />�y i�r /`•� <br />J <br />Owner or Contact at MBE Firm C <br />Telephone: ,s 7y y.3' 0 7 ( Fax: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Email: <br />'C14tfs .s )e/.JY.J �MQ:1.C�.Y <br />irdv �ny <br />RESULTS OF CONTACT WITH THE MBE FIRM: <br />MBE Firm <br />Owner or Contact at MBE Firm <br />Telephone: Fax: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Email: <br />RESULTS OF CONTACT WITH THE MBE FIRM: <br />Version 09/29/2021 Contractor's Bid for Public Works - 15 <br />