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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY <br />DEVELOPMENT PROGRAM <br />FORMMWBE-2.1 `, v <br />MBE/WBE CONTACTED " <br />This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects <br />requiring contacted MBE/WBE to obtain Good Faith Efforts. It is the bidder's sole responsibility to verify <br />whether any listed minority or woman business meets the qualifications of a Minority or Women's owned <br />business. <br />PAGE OF <br />Project Number: 116-064 MBE/WBE Participation Goal <br />Project Name: Martin Luther King, Jr. Center HVAC Revisions <br />Bidder: He & Goetz Inc. <br />By: I President August 23, 2016 <br />(Signature (Title) (Date) <br />MBE/WBE Firm Innovative Mechanical Solutions <br />Owner or Contact at MBENVBE Firm Mr. Kim Finn <br />Telephone: 117-706-1500 Fax: 866-485-9313 Email: kfinn@imcanical.com <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Furnish (2) RTU units <br />RESULTS OF CONTACT WITH THE MBE/WBE FIRM: <br />Agreed to terms. We will purchase (2) RTU units should we be awarded <br />t,'-=z's 1r3eet <br />MBENVBEFirm Supprinr F.nivironmental <br />Owner or Contact at MBE/WBE Firm <br />Telephone: 574-256-1490 Fax: 574-256-1491 Email: emma@ser90.com <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Asbestos abatement <br />RESULTS OF CONTACT WITH THE MBE/WBE FIRM: <br />This firm does Pat perform achestnc abatement <br />Version 7/31/2015 Contractor's Bid for Public Works - 10 <br />