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CITY OF SOUTH BEND', <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM MBE-2.1�%x <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 1OF1 <br />Project Number: 122-040B MBE Participation Goal 2.26% <br />Project Name: Downtown South Bend to Notre Dame Trail — Hill St. and South Bend Ave. <br />Bidder: Riath_Ril f nnetnirtinn Cn Tnr <br />By: �4(42 <br />(Signature) <br />Estimator 4/08/24 <br />(Title) (Date) <br />MBE Firm JBL Signals and 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 <br />RESULTS OF CONTACT WITH THE MBE FIRM: <br />Provided Bid <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 07/19/2023 Contractor's Bid for Public Works - 17 <br />