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CITY OF SOUTH BEND _ <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN` <br />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 />minority or woman business meets the MBE qualifications. Attach additional pages if necessary. <br />PAGEOF_� <br />Project Number: 124-064 MBE Participation Goal 2.54% <br />Project Name: Demolition of 215 Johnson treet Bidder: / dia Di <br />By: iL ,r <br />(Sign ure) (Title) (Date) <br />MBE Firm KeW4 Five - UM. -I, <br />Owner or Contact at MBE Firm A <br />Telephone:�f1#_ g 74p - e f $ Fax: Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />f VC !' <br />RESULTS OF CONTACT WITH THE MBE FIRM: <br />,Ae'eCP <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 - 32 Public Works Quote <br />