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CITY OF SOUTH BEND tiyot rx RFC <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITYLL rx <br />DEVELOPMENT PROGRAM nj <br />Z Y <br />FORM MWBE-2.0 <br />EVIDENCE OF GOOD FAITH EFFORTS 1865 <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 MBE/WBE 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: 116-053 Date: <br />Project Name: Calvert Street Lift Station Replacement <br />Bidder: yAia; �i,,� oL,2gv / zi- <br />Contact Person: /i/ptK Telephone: 51`/ ?o -6$S'y <br />Address: gz/z l'B Aaff l <br />City A60;� State: TN zip: <br />Email: m4r -a hQs/(!os b//derarnc Q1 40fi <br />To determine whether a bidder has demonstrated good faith efforts to reach the MBE/WBE 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 />MBEIWBE LIST(S): The bidder reviewed the City of South Bend's Minority and Women Business <br />J <br />Enterprise Diversity Development Program, which uses the IDOA approved list of Minority and Women <br />Owned Business as found on their website (http:/Jwww.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 MBE/WBEs of contracting and <br />subcontracting opportunities. <br />Advertise in general circulation and/or trade association publications concerning <br />J <br />subcontracting opportunities, and allow MBE/WBEs reasonable time to respond. <br />3. Perform any and all necessary steps to provide written notice in a manner reasonably <br />calculated to inform MBE/WBEs of subcontracting opportunities and allowed sufficient time for <br />them to participate effectively. <br />Utilize <br />pre-existing services of available community organizations, small and/or disadvantaged <br />business assistance offices and other organizations that provided assistance in the <br />recruitment and placement of MBE/WBE firms. <br />"Bidder must circle or otherwisenotate which of the two (2) required actions were performed. <br />GOOD FAITH NEGOTIATIONS: The bidder negotiated in good faith with interested MBE/WBEs, <br />including providing such MBE/WBE's with adequate information about the plans, specifications and <br />other requirements of the subcontract and did not reject MBEANBEs as unqualified without sound <br />business reasons based on a thorough investigation of their capabilities. <br />The bidder selected specific portions of the work to be performed by <br />s in order to increase the likelihood of meeting the MBEIWBE goals (including breaking down <br />into smaller units to facilitate MBE/WBE participation) <br />F�WON7RACT(S): <br />T RECORDS: The bidder has maintained the following records for each MBE/UVBE that has <br />subcontracting opportunity: <br />ddress, and telephone number;iption <br />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 MBE/WBE was unqualified to perform the job. <br />..aper ucdwusueuon or Good Farm 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 10/18/2016 Contractor's Bid for Public Works - 10 <br />