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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY A <br />DEVELOPMENT PROGRAM <br />FORM MWBE-2.1 <br />MBEIWBE CONTACTED J, <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. PAGE I OF 2 <br />Project Number: 118-019 MBEIWBE Participation Goal <br />Project Name: Wastewater Treatment Plant Belt Filter Press #1 Rehabilitation <br />�Bidder: �y Layl Inc. <br />BY: <br />Contracts and Bid Manager April 20,2018 <br />o <br />(Signature) -Larry Packard (Title) (Date) <br />MBEIWBE Firm Odyssian Technology Inc. <br />Owner or Contact at MBEMBE Firm Burton Bennett <br />Telephone: 574-257-7565 Fax: 574-257-7580 Email: iiifo@odyssian.com <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Supply of bull gears and pinion gear. <br />RESULTS OF CONTACT WITH THE MBENVBE FIRM: <br />Unable to provide parts. No quote. <br />MBEIWBE Firm SE Supply Cornpnay LLC <br />Owner or Contact at MBE/WBE Firm Slaes Group <br />Telephone: 800-840-1843 Fax: unknown Email: sales@scstipplyco.cot-n <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Supply of bull gears and pinion gear. <br />RESULTS OF CONTACT WITH THE MBENVBE FIRM: <br />Unable to provide parts. No cluote. <br />Version 10/17/2016 Contractor's Bid for Public Works - 10 <br />