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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY <br />DEVELOPMENT PROGRAMry� every <br />FORM MWBE-2'.1 <br />MBENVBE 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 />Project Number: 117-083B <br />PAGE 1 OF 1 <br />MBE/WBE Participation Goal 7.2% <br />Project (Name: Off'site Parking Lot at Wayne St. and St. Louis Bptj[QyArd <br />Bidder. i W Ish & KelIY <br />v, IDC. ELL E L <br />7/10/1 <br />By: President -S "8 <br />nature) KW)rn J.'Kelly <br />"I Y %) kV1 I <br />(Title) ((Date) <br />MBE/WBE Firm C. Lee Construction Services. Inc. <br />I <br />Owner or Contact at MBE/WBE Firm Chip Lee <br />k — <br />Telephone 219-888-9564 l:" I <br />: 219-922-7733 Fax: Email <br />�fflp@dg%esci,.com <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE MBEMBE FIRM: <br />Subcontractor will perform a portion of the hauling required for the job. <br />MBEANBE Firm <br />Owner or Contact at MBE/WBE Firm <br />Telephone: Fax: Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT, <br />RESULTS OF CONTACT WITH THE MBE/WBE FIRM: <br />Version 10/17/2016 Contractor's Bid for Public Works - 11 <br />