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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY <br />DEVELOPMENT PROGRAM <br />FORM MWBE-2.11 <br />MBE[WBE CONTACTED <br />This completed form should be supplied with Bids that pertain to city of South Bemd 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. PAGE _1OF 1 <br />Project Number: 116-027 MBEANBE Participation Goal <br />Project Name; Jefferson and TwvckephaT Signal <br />Bidder: Michiana Contracting, Inc <br />By: President 12/19/17 <br />9114 - - (Date) <br />(Signature) = (Title) <br />MBEIWBE Firm Traffic Control Specialists <br />Owner or Contact at MBEANBE Firm Barry Triska <br />Telephone: 574-772-7001 Fax: 574-772-7002 Email: barry@tcspecialists, net <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Pavement central <br />RESULTS OF CONTACT WITH THE MOENVBE FIRM: <br />Provided quote for bid <br />MBENVBE Firm Premium Concrete <br />Owner or Contact at MBE/WBE Firm Rob Becker <br />Telephone; 574-264-0196 Fax Email: rbecker@premiumconcreteonline.com <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Concrete work <br />RESULTS OF CONTACT WITH THE MBEfVVBE FIRM: <br />Provided quote for bid <br />Version 10117/2017 Contractors Bid for P ubliG Works - 11 Addendum #1 <br />