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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM MBE-2.1 <br />MBE CONTACTED <br />Version 03/15/2023 Page - 26 Public Works Quote <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 or woman business meets the MBE qualifications. Attach additional pages if necessary. <br />PAGE_______OF________ <br />Project Number: 123-042 MBE Participation Goal 0.5% <br />Project Name: Century Center North Restroom Renovation <br />Bidder: <br />By: <br /> (Signature) (Title) (Date) <br /> <br /> <br />MBE Firm <br />Owner or Contact at MBE Firm <br />Telephone: Fax: Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br /> <br /> <br /> <br /> <br />RESULTS OF CONTACT WITH THE MBE FIRM: <br /> <br /> <br /> <br /> <br /> <br /> <br />MBE Firm <br />Owner or Contact at MBE Firm <br />Telephone: Fax: Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br /> <br /> <br /> <br /> <br />RESULTS OF CONTACT WITH THE MBE FIRM: <br /> <br /> <br /> <br />1 1 <br />Larson-Danielson Construction Company, Inc. <br />X Brian T. Larson, President 5/23/23 <br />See attached Good Faith Effort <br />LARSON-DANIELSON <br />CONSTRUCTION CO., INC. <br />S T A TE OF <br />INDIA AN <br />SEAL <br />C orporate