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CITY OF SOUTH BEND t <br />a �r <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY/ <br />DEVELOPMENT PROGRAM' <br />FORM MWBE-2.1 <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 Q ✓ OF <br />Project Number: 118-093 <br />Project Name: Sewer and Manhole Rehabilitation <br />Bidder: r fir, /t rwr-i a' ki i, <br />in <br />i nature (Title) <br />MBE/WBE Firm .l <br />Owner or Contact at MBE/WBE Firm <br />Telephone: 0 Al -1A <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE MBE/WBE FIRM: <br />MBE/WBE Firm <br />Owner or Contact at MBE/WBE Firm w <br />Telephone: " - Fax -7 <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE MBE/WBE FIRM: <br />MBE/WBE Participation Goal <br />mail: <br />(Date) <br />�.m= <br />Version 7/20/2018 Contractor's Bid for Public Works - 11 <br />