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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY14,1 r , <br />DEVELOPMENT PROGRAM <br />FORM MWBE-2.1.� <br />MBE/WBE CONTACTED r <br />This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects <br />requiring <br />contacted MBE/WBE to obtain Good Faith Efforts. It is the bidders 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: 118-093MBE/WBE Participation Goal <br />Project Name: Sewer and Manhole Rehabilitation <br />Bidder:v") v«a, t"9 n l lt"► <br />By: <br />(Date) <br />MBE/WBE Firm <br />Owner or Contact at MBE/WBE Firm <br />vr, <br />�. <br />Telephone: Email: ~' <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE MBENVBE FIRM: <br />tA <br />_... <br />Owner or Contact at MBE/WBE Firm <br />Telephone, Fax: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE MBE/WBE FIRM: <br />Version 7/20/2018 Contractor's Bid for Public Works - 11 <br />