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CITY OF SOUTH BEND""���� . <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITYi <br />DEVELOPMENT PROGRAM <br />ua, Saar '! <br />FORM MWBE-2.1 r,- <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 MBE/WBE 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 />Project Number: <br />Project Name: <br />Bidder: <br />By: <br />118-087 <br />PAGE OF <br />MBE/WBE Participation Goal <br />WWTP ADMINISTRATION BUILDING MASONRY IMPROVEMENTS <br />Ziolkowski Construction. Inc. <br />ill Favors„ President December 11, 2018 <br />........ <br />/(Signature) (Title) (Date) <br />MBEM/BE Firm <br />Owner or Contact at MBEM/BE Firm <br />Telephone: <br />Fax: <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: Fax: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE MBE/WBE FIRM: <br />Email: <br />Email: <br />Version 7/20/2018 Contractor's Bid for Public Works - 11 <br />