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`��plrrlf <br />CITY OF SOUTH BEND( <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM MBE -2.1 yy <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 />PAGE___L_OF� <br />Project Number: <br />Project Name: <br />Bidder: <br />o� <br />By: <br />(Si ature) <br />118-005B <br />Riverside Drive Bank Stabilization <br />MBE Firm 4, S4 C/ <br />k C <br />(Title) <br />MBE Participation Goal 0.3% <br />(Date) <br />Owner or Contact at MBE Firm <br />Telephone: S-7 t - 99.3F <br />ax: Email: <br />J <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />/Yu <br />RESULTS OF CONTACT WITH THE//MBE FIR/M: <br />pr2.C_,' <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 09/29/2021 Contractor's Bid for Public Works - 15 <br />