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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 />minorlty-owned buslness meets the MBE quallflcatlons. Attach additional pages If necessary. <br />PAGE " bF <br />Project Number: 123-014 MBE Participation Goal 1.39% <br />Project Name: Demolition of 1000 West Sample Street <br />Bidder: 1���?'�r�-q} is✓�._ <br />By - <br />(Signature) (Title) ( ate) <br />M BE Firm _ <br />Owner or Contact at M BE Firm �iL6iv <br />Telephone: 51 7C, �tvl Fax: Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE MBE FIRM: <br />MBE Firm <br />Owner or Contact at MBE Firm <br />Telephoners„�� Fax: Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE MBE FIRM: <br />lvl� <br />