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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY <br />DEVELOPMENT PROGRAM <br />FORM MWSE-2.1 <br />MBENVBE CONTACTED rais: <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 />whother 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: 117-041 A <br />MBENVBE Participation Goal nla <br />Project Name: Downtown Cross Streets Improvements, Phase 1 <br />Bidder: <br />By: <br />n Co., Inc. _ <br />,. Sales Manager <br />4110/18 <br />—t�lIgnawre} Jest= rjrA—MCel5r—mick (Title) (Date) <br />MBEIWBE Firm <br />Owner or Contact at M13EANBE Firm <br />Telephone: Fax: Entail: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE MBEIWBE FIRM: <br />MBENVBE Firm <br />Owner or Contact at MSENVBE Firm <br />Telephone: Fax Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE MBENVBE FIRM: <br />Version 10/17/2016 Contractor's Bid for Public Works -15 <br />