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CITY OF SOUTH BEND" <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY <br />DEVELOPMENT PROGRAM�w� <br />FORM MWBE-2.1>` <br />MBE/WBE CONTACTED <br />This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects <br />requiring contacted MBEIWBE 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 1 OF 1 <br />Project Number: 119-064 MBE/WBE Participation Goal 2.40% <br />Project Name: 8 319 W. Jefferson Exterior Renovations <br />r , <br />Bidder: alsh Ali' Inc. <br />m a <br />By 8/13/1.,-VPof South Bend Area <br />ig ure) Dus to Hilary (Title) (Date) <br />e <br />M BE Firm C. Lee Constructlon� Services Inc. <br />wne r or Contact at MBE/WBE Firm Chip Lee ' <br />Telephone: 219-922-7733 Fax: 219-888-9564 Email: chip@cleecsi.com <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE MBEANBE FIRM: <br />They will provide the necessary hauling if Walsh & Kell Inc. is awarded the pr9ject. <br />MBE/WBE 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 4/2/2019 Contractor's Bid for Public Works - 12 <br />