Laserfiche WebLink
CITY OF SOUTH BEND 9cs3 <br />1 <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY /ddF 't <br />DEVELOPMENT PROGRAM kV �r <br />FORM MWBE-1.0 � <br />PROOF OF MBENVBE PARTICIPATION GOAL ess F' <br />npleteo form should be supplied with Birds that pertaln to 1: I of South Bend Public Works Projects requiring proof of MBEIMBE <br />Yfon goal. It is the bidtler'a sole responsibility to verify whether any listed minority or woman business meets the qualifications of a <br />or Women's owned business. <br />Project Number. <br />166.066 Project Name: <br />Fire Station #4 <br />Bidder: <br />Brown & Brown General Contr. <br />Total Bid Amount <br />MBEIWBE Goal: <br />7.1 % <br />Page 1 <br />of 1 <br />Nana &Address of MBEMBE Para ry Contact Person <br />(Nane/relephone) <br />Scope of Work to be Performed <br />(Attach soopelschedule 0you need additional space) <br />Dollar Amount of <br />MBENS <br />Percentage <br />of Tetaf <br />Ritschard Bros. <br />Don Ritschard <br />Earthwork <br />Component <br />BINPre psal <br />South Bend, IN <br />574-288-4777 <br />d" <br />ut 5tylut' <br />r <br />Submitted by: Eric Brown I December 13, 2016 <br />Print Name k.2 apiv, <br />Signature Date <br />Version 10/102016 Contractor's Bid for Public Works -10 <br />