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CITY OF SOUTH BEND o soUTyeF <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY <br />DEVELOPMENT PROGRAM <br />w <br />FORM MWBE-2.1 5 <br />MBE/WBE CONTACTED rsas <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 />PAGE_F <br />Project Number: (PB18) MBENVBE Participation Goal <br />Project Name: Fremont Park Splash Pad Design & Install <br />Bidder: <br />(Signature) Title <br />( ) (Date) <br />MBE/WBE Firm <br />Owner or Contact at MBENVBE Firm <br />Telephone: Fax: Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT. - <br />RESULTS OF CONTACT WITH THE MBENVBE FIRM: <br />MBEMBE Firm <br />Owner or Contact at MBENVBE Firm <br />Telephone: Fax: Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE MBE/WBE FIRM: <br />Version 7/31/2015 Contractor's Bid for Public Works - 10 <br />