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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY <br />T4 <br />DEVELOPMENT PROGRAM <br />FORM MWBE-2.0 <br />EVIDENCE OF GOOD FAITH EFFORTS <br />This completed form should The included as part of the Bids documents related to City of South Bend Public <br />Works Projects requiring Good Faith Efforts to obtain MBEIWBE participation. It is the bidder's sole <br />responsibility to verify whether any listed minority or woman business meets the qualifications of a Minority <br />or Women's owned business as defined by the Indiana Department of Administration ("IDOA11). <br />Project Number <br />Project Name: <br />Bidder: <br />Contact Person: <br />Address:: <br />city: <br />Email: <br />117-055A Date: <br />Lincoln Way East (SR 933) Corridor Improvements - Sample Street To <br />Twyckenham Drive <br />Walsh & Kelly. Inc. <br />'Edward Pilipow Telephone: 574-288-4811 <br />24358 SR 23 <br />South Bend State: Indiana Zip: 46614 <br />epilipowCa)-walshkelly,corn <br />To determine whether a bidder has demonstrated good faith efforts to reach the MBEMBE utilization goals set <br />forth in the City of South Bend Public Works Project Specifications, the City and its agencies, boards, or <br />commissions, REQUIRE ALL of the following Good Faith Efforts as listed in the table below*: <br />EVIDENCE OF GOOD FAITH EFFORTS <br />IMBEIWBE LISTS): The bidder reviewed the City of South Bend's Minority and Women Business <br />Enterprise Diversity Development Program, which uses the IDOA approved list of Minority and Women <br />Owned Business as found on their website (http://www,ini.giovlidoa), <br />ACTION (ADVERTISE/CONTACT)- In order for your bid to be deemed responsive, the City of South <br />Ben equires that all perspective bidders complete no less than 2 of the following: <br />1. Attend all pre -bid meetings scheduled by the City to inform MBENVIBEs of contracting and <br />subcontracting opportunities. <br />2. Advertise in general circulation and/or trade association publications concerning subcontracting <br />opportunities, and allow MBE/WBEs reasonable time to respond. <br />Perform any and all necessary steps to provide written notice in a manner reasonably calculated <br />to inform MBENVBEs of subcontracting opportunities and allowed sufficient time for them to <br />participate effectively. <br />4. Utilize pre-existing services of available community organizations, small and/or disadvantaged <br />business assistance offices and other organizations that provided assistance in the recruitment <br />and placement of MBEANBE firms. <br />"Bidder must circle or otherwise notate which of the two (2), required actions were performed. <br />GOOD FAITH NEGOTIATIONS: The bidder negotiated in good faith with, interested MBENVBEs, <br />including providing such MBE/WBE's with adequate information about the plans, specifications andl other <br />requirements of the subcontract and did not reject MBE/WBEs as unqualified without sound business <br />reasons based on a thorough investigation of their capabilities. <br />SMALL CONTRACT(S): The bidder selected specific portions of the work to be performed by <br />MBENVIBEs !in order to increase the likelihood of meeting the MBEANBE goals (including breaking down <br />contracts into smalier units to facilitate MBEIWBE participation) <br />CONTRACT RECORDS: The bidder has maintained the following records for each MBE/WBE that has <br />I <br />bid on the subcontracting opportunity: <br />1. Name, address, and telephone number; <br />2. A description of information provided by the bidder or subcontractor; and <br />3. A statement of whether an agreement was reached, and if not, why not, including any reasons for <br />concluding: that the MBEtWBE was unqualified to perform the job. <br />*Proper demonstration of Good Faith, Effort requires your initials next to all of the above boxes. Any <br />omissions shall be considered grounds for rejection of the bid by the Board of Public Works., The City of <br />South Bend reserves the right to request additional information. <br />Version 7/20,/2018 Contractor's Bid for Public Works - 10 <br />