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CITY OF SOUTH BEND A01 <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY <br />DEVELOPMENT PROGRAM„ <br />FORM MWBE-2.1 <br />MBE/WBE 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: 118-093 <br />Project Name: Sewer and Manhole Rehabilitation <br />�_ <br />Bidder: 4 [ M n1l VY) 4 ,P"""a I jr r <br />By: <br />(Signature <br />MBE/WBE Firm <br />(Title) <br />MBE/WBE Participation Goal <br />Owner or Contact at MBE/WBE Firm <br />Tele hone 4' Email: <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 <br />Telephone: 942Fax: Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE MBE/WBE FIRM: <br />I2....-...Iry <br />.. <br />(Date) <br />Version 7/20/2018 Contractor's Bid for Public Works - 11 <br />