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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY <br />DEVELOPMENT PROGRAM,i <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 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: 119-030 R <br />PAGE 1 OF 2 <br />MBENVBE Participation Goal <br />Project Name: Commerce Center Architectural Precast Concrete Panels <br />Bidder: Cpreslab Structures (Indianapolis) Inc. <br />By: � orey Greika, Vice President/ Sales Manager 8/13/19 <br />(Signature) (Title) (Date) <br />MBENVBE Firm <br />Owner or Contact at MBE/WBE Firm <br />Telephone: Fax: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE MBE/WBE FIRM: <br />MBENVBE Firm <br />Owner or Contact at MBE/WBE Firm <br />Telephone: <br />Fax: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE MBE/WBE FIRM: <br />Email: <br />Email: <br />Version 1/17/2019 <br />Contractor's Bid for Public Works - 12 <br />