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CITY OF SOUTH BEND ads°�T»iiaa <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY�dx', <br />DEVELOPMENT PROGRAM !T( lr I <br />FORMMWBE-2.1 <br />MBEIWBE CONTACTED-7&6s-:r.`' <br />This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects <br />requiring contacted MBEIWBE 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: 116.048 MBE/WBE Participation Goal <br />Project Name: JMS Facade Work <br />44 (�:,R Cn� t> s P Tt\G . <br />-�y`'-z� <br />(Signature) l (Title) (Date) <br />MBEIWBE Firm jhGt�2\�dl F�dl��1.�aUe GsunPnv�'-'�hc. <br />Owner or Contact at MBEIWBE Firm <br />Telephone: atq_3�Z-7838 Fax: Email:O`'k4�2(2 xa1ne_`lv\ace •ConA <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE MBE/WBE FIRM: <br />vV,t2�!v6S yy,yn� <br />MBEIWBE 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 MBEIWBE FIRM: <br />Version 7/28/2016 Contractor's Bid for Public Works - 10 <br />