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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: 122-024R MBE Participation Goal 3.1% <br />2022 Community Crossings Roadway Rehabilitation Project - Divisions 1 B, <br />Project Name: 213, 313, 4 and 5 <br />Bidder: Rieth-Riley Construction Co., Inc. <br />By:N/A (NO BID) <br />(Signature) (Title) (Date) <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 />MBE Firm <br />Owner or C_lntnnt ^t 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 - 33 <br />CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLANK}r <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: 122-024R MBE Participation Goal 3.1% <br />2022 Community Crossings Roadway Rehabilitation Project - Divisions 1 B, <br />Project Name: 213, 313, 4 and 5 <br />Bidder: Rieth-Riley Construction Co., Inc. <br />By:N/A (NO BID) <br />(Signature) (Title) (Date) <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 />MBE Firm <br />Owner or C_lntnnt ^t 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 - 33 <br />