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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY <br />DEVELOPMENT PROGRAM Z <br />FORM MWBE-2.11 <br />MBEIWBE 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 OF <br />Project Number: <br />118-057 <br />Project Number: <br />118-057 <br />Project Name: "Berlin Place — Site Concrete, Landscape Plantings, and Bldg. 4 Roof Pavers"_ <br />Bidder: Ziolkowski <br />By: !!�P� Bill Favors, President June 12, 2018 <br />(8ignature) (Title) (Date) <br />MBEANBE Firm OA <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 MBEMBE FIRM: <br />MBEMBE Firm <br />Owner or Contact at MBEIWBE Firm <br />Telephoner Fax: Emaik <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE MBE/WBE FIRM: <br />Version 10/17/2017 Contractor's Bid for Public Works - 12 <br />