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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY10, <br />DEVELOPMENT PROGRAM <br />[ MB MH'b <br />FORM MWBE-2.1 _ w <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: 118-086R <br />Project Name: Liberty Tower Exterior Renovations <br />Bidder: <br />By: <br />PAGE OF <br />MBE/WBE Participation Goal <br />(Signature) (Title) (Date) <br />MBEIWBE Firm <br />Owner or Contact at MBE/WBE Firm <br />Telephone: Fax: .._, _ ��........_....-. Email: <br />TYPE OF WORK SOLICIT O � CT: <br />SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE MBENVBE FIRM: <br />MBE/WBE Firm <br />Owner or Contact at MBE/WBE Firm <br />Telephone: Fax. .....�._�............_.�.��.��..,�.....�. Em,.���.. <br />ail: <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 - 13 <br />