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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_OF <br />Project Number: 122-001 MBE Participation Goal Varies <br />Project Name: 2022 Curb and Sidewalk Construction — Round 1 <br />Bidder: P; -Cfib r , 1-G CGAS11V 6f I OA <br />By: a � 6's 1 �,Yo f 7- //- -12. <br />(Signature) (Title) (Date) <br />MBE Firm IS 614S5 <br />100:o <br />Owner or Contact at MBE Firm _15-dAV J <br />Telephone: 6S N) qq 3 -0071 Fax: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />. LLC. <br />Email [if (HISS I aue i�,'Ls �®I�4 �i11/�14s1 `oM <br />ch , A a <br />RESULTS OF CONTACT WITH THE MBE FIRM: <br />V5 C �j <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 - 20 <br />CITY OF SOUTH BENDz:,_' <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 />PAGE_OF <br />Project Number: 122-001 MBE Participation Goal Varies <br />Project Name: 2022 Curb and Sidewalk Construction — Round 1 <br />Bidder: P; -Cfib r , 1-G CGAS11V 6f I OA <br />By: a � 6's 1 �,Yo f 7- //- -12. <br />(Signature) (Title) (Date) <br />MBE Firm IS 614S5 <br />100:o <br />Owner or Contact at MBE Firm _15-dAV J <br />Telephone: 6S N) qq 3 -0071 Fax: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />. LLC. <br />Email [if (HISS I aue i�,'Ls �®I�4 �i11/�14s1 `oM <br />ch , A a <br />RESULTS OF CONTACT WITH THE MBE FIRM: <br />V5 C �j <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 - 20 <br />