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� 4SOUTH B�,�d <br />CITY OF SOUTH BEND d <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN ? < az <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. 1 <br />PAGE 1 OF <br />Project Number: 125-042 MBE Participation Goal N/A <br />Project Name: 2025 Microsurfacing Quote <br />Bidder: J National Pavement Maintenance <br />By. ��/(/� Owner/Member 7-21-2025 <br />( 'gnatur (Title) (Date) <br />MBE Firm Conchita.com LLC <br />Owner or Contact at MBE Firm Emmanual Newman <br />Telephone: 330-951-5154 Fax: Email: e.t.newman@gmail.com <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Trucking Services <br />RESULTS OF CONTACT WITH THE MBE FIRM: <br />Firm does not own or use specialized tanker used in this project <br />Not able to use this 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 1/3/2025 Page - 27 Public Works Quote <br />