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CITY OF SOUTH BEND 0&. T e� <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY <br />DEVELOPMENT PROGRAM z <br />FORM MWBE-2.1 das <br />MBEIWBE CONTACTED <br />This completed form should be supplied with Bids that pertain to City of South Bend Public Works <br />Projects requiring contacted MBE/WBE to obtain Good Faith Efforts. It is the bidder's sole responsibility to <br />verify whether any listed minority or woman business meets the qualifications of a Minority or Women's <br />owned business. <br />PAGE OF. <br />Project Number: 116-132 MBE/WBE Participation Goal 7 .� <br />Project Name: Newman Center: Masonry Repair <br />Bidder: Ziolkowski l6onstruction, Inc. <br />BY �iL�� Bill Favors_ President January 10 2017 <br />(Signature) (Title) (Date) <br />glee 'ZC i s S�1 1��v �c r�Z v\,c� i11,\� k- kL <br />MBE/WBE Firm <br />Owner or Contact at MBE/WBE <br />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 MBE/WBE <br />Firm <br />Telephone: Fax: Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE MBE/WBE FIRM: <br />Version 10/17/2016 Contractor's Bid for Public Works - 10 <br />