Opening of Bids - Neighborhood Infrastructure - Ford St. & Walnut St. Intersection Proj No. 121-048C - Rieth-Riley Construction Co., Inc

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This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects requiring Good Faith Efforts to contact WBEs. It is the bidder's sole responsibility to verify whether any listed woman -owned business meets the WBE qualifications. Attach additional pages if necessary. PAGE 2 OF 2 Project Number: 121-048C WBE Participation Goal 5.19% South Bend Neighborhood Infrastructure Project — Ford Street and Walnut Project Name: Street Intersection Bidders Rieth-Riley Construction By: Ir 1 /r Estimator (Signature) (Title) 11/21/2022 (Date) WBE Firm State Barricading CITY OF SOUTH BEND, NIC49C.100N/(®� r MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM MBE -2.1 y r WBE CONTACTED This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects requiring Good Faith Efforts to contact WBEs. It is the bidder's sole responsibility to verify whether any listed woman -owned business meets the WBE qualifications. Attach additional pages if necessary. PAGE 2 OF 2 Project Number: 121-048C WBE Participation Goal 5.19% South Bend Neighborhood Infrastructure Project — Ford Street and Walnut Project Name: Street Intersection Bidders Rieth-Riley Construction By: Ir 1 /r Estimator (Signature) (Title) 11/21/2022 (Date) WBE Firm State Barricading Owner or Contact at WBE Firm James Michalski Telephone: 574-287-2078 Fax: Email: 4ic 0A TYPE OF WORK SOLICITED FOR THIS PROJECT: NIC49C.100N/(®� r Maintenance of Traffic RESULTS OF CONTACT WITH THE WBE FIRM: Provided Bid WBE Firm Owner or Contact at WBE Firm Telephone: Fax: Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE WBE FIRM: Version 09/29/2021 Contractor's Bid for Public Works - 17