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- 41f'-�7� yE <br />CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM MBE-2.1 <br />•.. <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 />,00%%iiii111/1"/, PAGE OF <br />Gort��t 1+�ymber: 123-063 MBE Participation Goal 1.57% <br />roc:' P ect-. rie: Cleveland Road at Portage Road Traffic Signal Improvements <br />o�pDf��F Michiana Contracting Inc <br />— ra der: c <br />2% S L Scott Kirkpatrick, Vesident 11/12/24 <br />(Sigrlture) (Title) (Date) <br />•��'��, 1nd'is 1 ` <br />11,,Mpfi1A1rm JBL Signals and Lighting LLC <br />Owner or Contact at MBE Firm Tanner Lelbovitz <br />Telephone: 574-855-2251 Fax: Email: tannerl@jblsignalsandlighting.com <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Traffic signals <br />RESULTS OF CONTACT WITH THE MBE FIRM: <br />Quoted and accepted <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 5/20/2024 Contractor's Bid for Public Works - 15 <br />