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CITY OF SOUTH BEND o44OUT"°c��� <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY <br />DEVELOPMENT PROGRAM j sly <br />FORM MWBE-2.1��''�°�o <br />MBE/WBE CONTACTED "6s <br />This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects <br />requiring contacted MBEfWBE 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 aMinority or Women's owned <br />business. <br />PAGE —OF — <br />Project Number: 116-138 MBEiWBE Participation Goal <br />Project Name: Michiana Brick Site Demolition <br />Bidder: <br />By: <br />(Signature) (Title) (Date) <br />MBENVBE 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 MBENVBE FIRM: <br />MBENVBE Firm <br />Owner or Contact at MBENVBE Firm <br />Telephone: Fax: Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE MBENVBE FIRM: <br />Version 10/17/2016 <br />Contractor's Bid for Public Works - 10 <br />