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CIT'Y OFSOUTH BEND <br />A" <br />MINOR11Y ANU WOMEN BUSINESS ENTERPRISE OWERSITY <br />DEVELOPMENT PROGRAM <br />FORM MWSE-2.0 <br />EVIDENCE OF GOOD FAITH EFFORTS <br />This completed Form should be included as part o,f the Bids docuntents; rehated to City of -SavAh Bend Public <br />Works Projects requiring C. Faith Efforts to obUin NBEJWBE paAidjmfion. It is Am Ividdees solp <br />responsibility to verify wheffier any listed minocity or woman bufaness amels the qualifications of a Minar,et <br />y <br />or Women's ovaied business as defined by Ow Indiana epadinent of Administration (900A"I. <br />Project Nurnber: 1031-2017 -- Date <br />Project Name-. Morris Pejfonr�nq Anfts Celer, Mwriis DskF&;1P1a3ais Ldbby Inprovemnets <br />Bidder:, <br />Contact Person: A-111w Z Telepbone.- <2 <br />Address: <br />City: f, 17r& sitale.: Zip: <br />—ZE 2 <br />Email: IV <br />To determine whether staid' as denionstrated $Wud failh efforts to reach the MBEMiBE tA14,zali6n,"hs set <br />forth in the City otsvothiBend its ervc:,� aq. es, bTi) -wds, Im <br />commissions, REQUIRE ALL of the folMowing Gpad Faft Eftts as Listed iirn Me IaWe, <br />EVIDENCE OF GOOD FAffH EFFQR'TS <br />MBEMBE LIST(S): -nie biddler revdewed the Oly of South BeM's Kirvirity and Women Business <br />Enterprise Diversity Develbpfvent Progrann, wh[ch uses the [00A approved fist of Minority and Women <br />Owned Brisiness as found oanf their wei bsile (NMpleowwr in.gavhdoa), <br />ACTION (ADVERTLSEICONTACT): lift (xxter for ycuir Nd to be deeimed responsive, the City of Smith <br />Bend requires, tfnst a(f peospee6ve Ndders cmmpCete no loss Man 2 of the f0w1ingi- <br />I . Attend aH pre —bid meetings srhe&led Rvy the it to indaqm MBEMBEs ul conilffading and <br />Subconlrarfing qppodurt1ies, <br />2. Advertise in generAl diroirilff4ion and"or hadassmdatbn IpmWicalbarts cancenroing subt)oinbrarting <br />0,mpartuinAies, mWaSopw MBEPWBEs rear miable., time to resporiyd. <br />Perform any and all nece-ssr-avy steps to pruviidevritten inotice in a <br />01-1 <br />to Worm MBFANBEs of suIxuatrading oppouturioities, grad aftii suffident 0ifrne foT thleyn to <br />paTtzirmte effectively. <br />Utffize pre-existkTg semIces oq availlalVe cornmurtity, organIzations, smallil andlor disadVarTtaged, <br />9 <br />business asslistance offices myril edier oTgaywizatims Mal 1pwMi pd assistance in Me reCarlo ifivent <br />and pharmimnit of NBENVOE ftins. <br />—Bidder must drde or oJberdise nolate' wbJeb op The two wry) required actions were peilm-nvd. <br />GOOD FAITH NEGOTIATIONS: The bidder negpbated in gped falh twhlh inteaested MOFONBEs, <br />including providing such MBFJWBE`s With adequiale inifferniggion wort the plarts, sipe6fic.-Aiams wwd other <br />requirernents of the subcmntradt and did not r*edt h48ENVBEs as mPqu4Nfkk1 w0mul smitrd h4jisliness <br />reasons based on a dimfough inves6gatiam of fireiffcaphddles. <br />SMALL CONTRACT(S): The �Mdar seecled specibc pmitians of the wwk to be pedmwed by <br />MBEfWBEs in order to huipAse the 9,kcAhiovd of mRefing Me RIBOWBE its (including bredkihq down <br />contawAs into smaller to its to bedUale MBEW$BE paflktpadion) <br />CONTRACT RECORDS- The tgddeT has fiffai�ntaiwed We fd3avvitV mmrds fkN- each MSEYWBE aud has <br />1xid (m the saboDntraz0yg oppzxtui!6ly.: <br />1 . Name, address,, and teleplione Mflnber-, <br />2. A description of informaftn provided by the bidder off submilreduu, and <br />3. A statement of whether an agmequeni upas ffeaulred, and il frict, why not, induchng any ffeamas for.. <br />canctudikag that the RNBE1WRE oms unquatified, fm p,pedbimiil the �(ab. <br />*Proper demonstration of Good Faith Effort requiffes your inifials next to a0l of the above boxes. Ally <br />omis,sions shall be considered gvounft foc woefion of the bid by the Board of Public Works. T'tw City of <br />South Bend reserves the right to request aiddifional information. <br />Version 10/170-016 coffAracloir's, 9140 foAr pub4c wvfks - 9 <br />