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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 />�' OF <br />Project Number: 123-018 MBE Participation Goal 4.17% <br />Project Name: Locust Road Improvements from 935 North of US 20 to State Road 23 <br />Bidder: , ,Rietfug4e�i Construction <br />By: 1'yi c-1 to r <br />(Signature) (Title) (Date) <br />MBE Firm: JBL Signal & Lighting <br />Owner or Contact at MBE Firm Tanner Leibovitz <br />Telephone:574-855-2251 Fax: Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Electrical/Signage <br />RESULTS OF CONTACT WITH THE MBE FIRM: <br />Provided bid. <br />MBE Firm 1st Class Logistics <br />Owner or Contact at MBE Firm Bernard Coutee <br />Telephone: 574-993-0071 Fax: Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Trucking <br />RESULTS OF CONTACT WITH THE MBE FIRM: <br />Provided Bid <br />Version 10/13/2021 Contractor's Bid for Public Works-15 <br />