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rN <br />dJ467"P� <br />CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY fi�4,/ "VINS <br />DEVELOPMENT PROGRAM ��i <br />�r w <br />FORM MWBE-2.1 <br />MBEMBE CONTACTED <br />This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects <br />requiring contacted MBENMBE 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 3 OF 3 <br />Project Number: <br />Project Name: <br />Bidder: —% <br />By: <br />117-132 <br />MBE/WBE Participation Goal <br />—City of South Bend Wastewater Treatment Plant Electrical Improvements <br />Martell Electric, LLC <br />MBENVBE Firm Premium Concrete <br />President <br />(Title) <br />11 /27/2018 <br />Owner or Contact at MBENVBE Firm Max Yea�key- Contact <br />............ <br />Telephone: 574) 264-0196 Fax: (574) 266-5392 Email: max@premiumconcreteonline.com <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Concrete / Civil Work <br />RESULTS OF CONTACT WITH THE MBENVBE FIRM: <br />Pricing provided <br />MBENVBE Firm <br />Owner or Contact at MBENUBE Firm <br />Telephone: Fax: Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE MBENUBE FIRM: <br />Version 7/20/2018 Contractor's Bid for Public Work - 10 <br />