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CITY OF SOUTH BEND 045OUTIJ <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY ox <br />DEVELOPMENT PROGRAM <br />r - V. <br />FORM MWBE•2,1 , <br />MBEIWBE CONTACTED ryas <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 OF <br />Project Number. 117-071A MBENVBE Participation Goal <br />Project Name: Ironwood Drive Pavement Rehabilitation and Intersection <br />Bidder: <br />By: <br />(Signature) (Title) (Date) <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 />MBE/WBE 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 MBE/WBE FIRM: <br />Version 10/1712017 Contractor's Bid for Public Works - 14 <br />