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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM MWBE-2.1 rr� <br />MWBE CONTACTED <br />This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects <br />requiring Good Faith Efforts to contact MWBEs. It is the bidder's sole responsibility to verify whether any listed <br />minority or woman business meets the MWBE qualifications. Attach additional pages if necessary. <br />PAGE OF <br />Project Number: 119-069 MWBE Participation Goal <br />Project Name: WWTP Secondary and Disinfection Improvements <br />Bidder: Thieneman Construction, Inc. <br />By: ITITITIT mmmm Estimating Manager 2/11/2020 <br />(Signature) (Title) (Date) <br />MWBE Firm See attached TCI XBE Solicitation Lists <br />Owner or Contact at MWBE FirmITITITIT ITITITITITITIT- <br />Telephone: <br />Fax: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE MWBE FIRM: <br />MWBE Firm <br />Owner or Contact at MWBE Firm <br />Telephone: <br />Fax: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE MWBE FIRM: <br />Email: <br />Email: <br />03029045.0000 0041 13-20 <br />