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REVISION 1 CITY OF SOUTH BEND ,�o�,-:-._.•;��,,, <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY r„. <br />DEVELOPMENT PROGRAM <br />awf r d!:i <br />FORM MWBE-2,1 Y , s ~,F fz: <br />MBEIWBE CONTACTED l86 <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 />Project Number: 117-06OR <br />Project Name: Newman Center Site Deveh <br />Bidder: /"�) HAC NSTRUCTIQN INC. <br />By: <br />(Signature( p a ul J. Fallon <br />PAGE 1 OF <br />MBEIVVBE Participation Goal <br />ent <br />Vice President- 7/25/17 <br />(Title) Special projects (Date) <br />MBEANBE Firm Please See Attached <br />Owner or Contact at MBEM/BE Firm <br />Telephone: Fax: Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE MBEIWBE FIRM: <br />MBE/WBE Firm <br />Owner or Contact at MBEIWBE 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 - 13 <br />