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CITY OF SOUTH BEND. 4g;. <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM MBE-2.1 <br />MBE CONTACTED <br />This compietoove form should be supplied with Bids that pertain to City of South Bend Public Works Projects <br />requiring Good ,�.ilth Efforts to contact MBEs. it is the bidder's sole responsibility to verify whether any listed <br />minority-owneak bt,siness meets the MBE qualifications. Attach additional pages if necessary <br />PAGE OF 1 <br />Project Number: 122-041 MBE Participation Goal 1.82%&1.75% <br />Grand Trunk Western Water Main Replacement At Greenlawn Avenue And S. <br />Project Name: 301' Street <br />Bid d H nst n Inc. <br />By Matthew D. Cain, President June 11, 2024 <br />Signature) (Title) (Date) <br />MBE Firm SEE ATTACHED <br />Owner or Contact at MBE Firm <br />Telephone: Fax: Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />�r <br />RESULTS OPgQNTACT WITH THE MBE FIRM: <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 -19 <br />