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i •��l 'l Ff I1�:, <br />CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN -' <br />FORM MBE-2.1 H <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 />PAGE OF <br />Project Number <br />125-020A <br />Project Name: Cleanup of South Bend Range, Phase <br />MBE Participation Goal 1.3% <br />Bidder: Omega III 1 1 (' <br />By: General Manager 8J525 <br />(Signature) (Title) (Date) <br />MBE Firm 1st Class Logistics <br />Owner or Contact at MBE Firm Bernard Coutee <br />Telephone: 574.993.0071 Fax: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE MBE FIRM: Received quote <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 - 14 <br />