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CITY OF SOUTH BEND <br />q"rK�M,4 <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY <br />DEVELOPMENT PROGRAM <br />FORM MWBE•2.1 <br />EVIDENCE OF GOOD FAITH EFFORTS <br />'mow "I-" <br />This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects <br />requiring contacted MBElWSE 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 7 OF 21 <br />Project Number: 116-060 R <br />MSE/WBE Participation Goal <br />Project Name: WWTP Digester Gas Utilization Design <br />:> OR <br />By: <br />MBE/WBE Firm Skwiat Electric <br />Owner or Contact at MBEANBE Firm Stephanie Skwiat <br />Telephone: 219-326-9473 Fax: Email: skwiatelectric(a)aol.com <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Electrical <br />RESULTS OF CONTACT WITH THE MBEMIBE FIRM: <br />MBE/WBE Firm Bellsom Electric Inc. <br />Owner or Contact at MBEIWBE Firm Dody Russell <br />Telephone: 219-554-1100 Fax: Email: drussell@bellsom.com <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Electrical <br />RESULTS OF CONTACT WITH THE MBENVBE FIRM: <br />(END OF SECTION) <br />SB W WTP Digester Gas Utilization Design <br />Project No. 116-050 00 45 36-7 Version 7/31/2015 <br />