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CITY OF SOUTH BEND ^eavTyvF>,., <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY <br />DEVELOPMENT PROGRAM <br />I€+ <br />FORM MWBE-2.1 ell <br />MBE/WBE CONTACTED ,toy <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 2 OF 2 <br />Project Number: 116-005 MBEA/VBE Participation Goal 7.1% <br />Project Name: Chet Waggoner Court <br />Bidder: Woodruff & Sons, Inc. <br />By: 77— 'c./3Le, Vice Precirient Aumrct 1R 9nt <br />MBEANBEFirm Hawk Enterprises, Inc. <br />Owner or Contact at MBE/WBE Firm f: ran <br />Telephone: 219-662-8090 Fax: 219-662-8093 Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT. Signals and Lights <br />RESULTS OF CONTACT WITH THE MBE/WBE FIRM: Quote received <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 7/31/2015 Contractor's Bid for Public Works -12 <br />