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<'SpV Ty B_ <br />CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY <br />DEVELOPMENT PROGRAM '^ <br />FORM MWBE-2.0 <br />EVIDENCE OF GOOD FAITH EFFORTS - <br />This completed form should be included as part of the Bids documents related to City of South Bend <br />Public 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 <br />Minority or Women's owned business as defined by the Indiana Department of Administration ("IDOA"). <br />Project Number: <br />Project Name: <br />Bidder: <br />Contact Person: <br />Address: <br />City: <br />116-132 <br />Date: January 10 2017 <br />Newman Center: Masonry Repair <br />Ziolkowski Construction, Inc. <br />Brad Dennis Telephone: 574-287-1811 <br />4050 Ralph Jones Drive <br />South Bend State: Indiana zip: 46628 <br />Email: bdennisrZDzbuild.com <br />To determine whether a bidder has demonstrate <br />goals set forth in the City of South Bend Public V1 <br />boards, or commissions, REQUIRE ALL of the <br />below*: <br />gooa raitn etrons to reach the mbE/wt3E utilization <br />)rks Project Specifications, the City and its agencies, <br />following Good Faith Efforts as listed in the table <br />EVIDENCE OF GOOD FAITH EFFORTS <br />MBENVBE LIST(S): The bidder reviewed the City of South Bend's Minority and Women Business <br />Enterprise Diversity Development Program, which uses the IDOA approved list of Minority and Women <br />Owned Business as found on their website (http://www.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 />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 subcontracting <br />opportunities, and allow MBE/WBEs reasonable time to respond. <br />Perform any and all necessary steps to provide written notice in a manner reasonably calculated to <br />inform MBENVBEs of subcontracting opportunities and allowed sufficient time for them to participate <br />effectively. <br />Utilize pre-existing services of available community organizations, small and/or disadvantaged <br />business assistance offices and other organizations that provided assistance in the recruitment and <br />placement of MBENVBE firms. <br />**Bidder must circle or otherwise notate 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 MBENVBE's with adequate information about the plans, specifications and <br />other requirements of the subcontract and did not reject MBENVBEs as unqualified without sound <br />business reasons based on a thorough investigation of their capabilities. <br />SMALL CONTRACT(S): The bidder selected specific portions of the work to be performed by <br />MBE/WBEs in order to increase the likelihood of meeting the MBENVBE goals (including breaking <br />down contracts into smaller units to facilitate MBENVBE participation) <br />CONTRACT RECORDS: The bidder has maintained the following records for each MBENVBE that has <br />bid on the subcontracting opportunity: <br />1. Name, address, and telephone number; <br />2. A description 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 MBENVBE was unqualified to perform the job. <br />*Proper demonstration of Good Faith 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 10/17/2016 Contractor's Bid for Public Works <br />