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CITY OF SOUTH BEND se111711 BE;i <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY _ ry <br />DEVELOPMENT PROGRAM <br />s <br />FORM MWBE-2.1 Q <br />MSE/WBE CONTACTED rss <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 1 OFF_ <br />Project Number: 116-053 MBE/WBE Participation Goal 7.1 <br />Project Name: Calvert Street Lift Station Replacement <br />ident <br />MBE/WBE Firm SEE ATTACHED <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 />MBE/WBE Firm <br />Owner or Contact at MSE/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 10/18/2016 Contractor's Bid for Public Works - 11 <br />12/8/16 <br />