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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY <br />DEVELOPMENT PROGRAM <br />FORM MWBE-2.0 <br />EVIDENCE OF GOOD FAITH EFFORTS <br />lb65 <br />This completed form should be included as part of the Bids documents related to City of South Bend Public <br />Works Projects requiring Good Faith Efforts to obtain MBEfWBE participation. It is the bidder's sole <br />responsibility to verify whether any listed minority or woman business meets the qualifications of a Minority <br />or Women's owned business as defined by the Indiana Department of Administration +("IDOA"). <br />Project Number: 116-083F Date: Iy 12-0 J 1 Ie <br />Project Name: Chippewa Avenue Emergency Repairs <br />Bidder: J C_1 , c 910 P I Inc <br />Contact Person: cc r I F TJn444e Telephone: 21 `i - 32N - 1313 <br />Address: R o - ('Sufi 36% <br />City: L1'orf2 State: rty Zip: q(,352 <br />Email CTOrJeRTE- 0— �c"br;citig corn <br />To determine whether a bidder has demonstrated good faith efforts to reach the MBENVBE utilization goals set <br />forth in the City of South Bend Public Works Project Specifications, the City and its agencies, boards, or <br />commissions, REQUIRE ALL of the following Good Faith Efforts as listed in the table below*: <br />EVIDENCE OF GOOD FAITH EFFORTS <br />/ <br />MBEfWBE LIST(S): The bidder reviewed the City of South Bend's Minority and Women Business <br />Ci <br />Enterprise Diversity Development Program, which uses the IDOA approved list of Minority and Women <br />Owned Businessas found on their website (http://www.in.gov/idoa). <br />ACTION (ADVERTISE/CONTACT): In order for your bid to be deemed responsive, the City of South <br />Bend requires that all perspective bidders complete no less than 2 of the following: <br />1. Attend all pre -bid meetings scheduled by the City to inform MBENWBEs of contracting and <br />subcontracting opportunities. <br />2. Advertise in general circulation and/or trade association publications concerning subcontracting <br />opportunities, and allow MBE/WBEs reasonable time to respond. <br />3. Perform <br />'l <br />t/ any and all necessary steps to provide written notice in a manner reasonably calculated <br />to inform MBENVBEs of subcontracting opportunities and allowed sufficient time for them to <br />participate effectively. <br />4. Utilize pre-existing services of available community organizations, small and/or disadvantaged <br />business assistance offices and other organizations that provided assistance in the recruitment <br />and placement of MBENVBE firms. <br />**Bidder must circle or otherwise notate which of the two (2) required actions were performed. <br />/ <br />GOOD FAITH NEGOTIATIONS: The bidder negotiated in good faith with interested MBENVBEs, <br />including providing such MBENVBE's with adequate information about the plans, specifications and other <br />requirements of the subcontract and did not reject MBENVBEs as unqualified without sound business <br />reasons based on a thorough investigation of their capabilities. <br />�/ <br />SMALL CONTRACT(S): The bidder selected specific portions of the work to be performed by <br />G <br />MBENVBEs in order to increase the likelihood of meeting the MBEfWBE goals (including breaking down <br />contracts into smaller units to facilitate MBENVBE participation) <br />CONTRACT RECORDS: The bidder has maintained the following records for each MBEfWBE that has <br />/ <br />bid the subcontracting opportunity: <br />1. Name, address, and telephone number;f <br />2. A description of information provided by the bidder or subcontractor; and <br />3. A statement of whether an agreement was reached, and if not, why not, including any reasons for <br />concluding that the MBENVBE was unqualified to perform the job. /Vl(/A <br />Proper demonstration of Good Faith Effort requires your initials next to all of the above boxes. Any <br />omissions shall be considered grounds for rejection of the bid by the Board of Public Works. The City of <br />South Bend reserves the right to request additional information. <br />Version 7/28/16 Page - 24 Public Works Quote <br />