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CITY OF SOUTH BEND�tl <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />x'•,+/ <br />FORM MBE-2.1v% <br />MBE CONTACTED <br />I his completed rorm should be supplied with Bids that pertain to City of South Bend Public Works Pr <br />requiring Good Faith Efforts to contact MBEs. It is the bidder's sole responsibility to verify whether any <br />minority or woman business meets the MBE qualifications. Attach additional pages if necessary. <br />PAGE OF <br />Project Number: 124.055 MBE Participation Goal <br />Project Name: Locust Water Booster Pump Station Improvements <br />MBE Firm <br />Owner or Contact at I Telephone: 31-)—LJ23_),315 Fax: Email: GIaLYr12u1�+-77Carrlf.fUGSCY <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />j rl dUS+rro-) SUO j,Y S f Cqupmted <br />RESULTS OF CONTACT 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 3/15/2024 Page - 28 Public Works Quote <br />