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CITY OF SOUTH BEND �SptlTiiH(y <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY <br />DEVELOPMENT PROGRAM'a <br />FORM MWBE-2.1 <br />MBElWBE CONTACTED <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 />PAGE 1 OF 1 <br />Project Number: 117-027 MBE/WBE Participation Goal 7.1% _ <br />Project Name: F min ton Lift Station 14A Rehabilitation <br />Bidder: en Engineering Corporation <br />By-, — Estimating Mgr - Water Projects Group 11.14.17 <br />( ignature) (Title) (Date) <br />MBENWBE Firm SEE ATTACHED DOCUMENTATION <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 MBENWBE FIRM: <br />MBE/WBE 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 MBEIVVBE FIRM: <br />Version 8f22/2017 Contractor's Bid for Public Works - 11 <br />