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CITY OF SOUTH BEND 3tlAsnuTNR\nor <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY <br />DEVELOPMENT PROGRAM <br />FORM MWBE-2.1 <br />MBEIWBE CONTACTED <br />This completed form should be supplied with Bids that pertairi 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 awned <br />business. <br />PAGE �OF <br />Project Number: 116-048R MBEIWBE Participation Goal <br />Project Name: JMS Fagad+ <br />Bidder: <br />By: <br />�G. <br />11 <br />(Signature) (Title) (Date) <br />MBEIWBE Firm f\, Ve v-5 c I I '' I - <br />Owner or Contact at MBEMBE Firm e S5 �; t &.1, r 4- <br />Telephone: :g 1 i - 0i S! - ty 7 W 7 Fax: Email: U s ,� c. y % ,- �= n '14 <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE MBEIWBE FIRM: <br />MBEIWBE Firm <br />Owner or Contact at MBEMBE 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 />