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Q'. <br />CITY OF SOUTH BEND <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 1 OF <br />Project Number: <br />MBE Participation Goal 3.53% <br />Project Name: <br />Cleveland <br />Road and <br />Ameritech <br />Drive Intersection Improvements <br />Bidder: <br />Premium <br />Concrete <br />Services <br />Inc. <br />By: <br />Estimator/PM <br />MBE Firm Kennedy Expressline <br />Owner or Contact at MBE Firm Marcus Northern <br />Telephone: (574) 876-8881 Fax: (574) 272-2302 Email: ken nedyexpressline(a�Vahoo.com <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Construction Trucking of matierials <br />RESULTS OF CONTACT WITH THE MBE FIRM: <br />Firm has given pricing and availabilty if awarded <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 - 15 <br />