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L)kF11P <br />CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY <br />DEVELOPMENT PROGRAM <br />a. inn nrx ry,; <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: 118-074 B-R MBE/WBE Participation Goal <br />Project Name: Three Twenty at the Cascade - Exterior Insulation and Finish System E.I.F. <br />Bidder:, f P, -1`"^I <br />By <br />( g ure) (Title) Date <br />MBE/WBE Firm ' Iles <br />------- <br />Owner or Contact at MBE/WBE Firm ! m C <br />7— <br />TeIephone:7Cyg,9Ct!5,,0W/7_4Fax: ° ° qcl5,jEmail: <br />ed <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />... ................................. <br />RESULTS OF CONTACT WITH THE MBENVBE FIRM; <br />rt <br />* �� a I + c 1 <br />MBEM/BE Firm AISAI _r/ `oni <br />Owner or Contact at MBE/WBE Firm r,-A— <br />Telephone: 4L:30 _9CJ2_— /t601 Fax: / <br />TYPE OF WORK SOLICITED FOR THIS PROJE T: <br />RESULTS OF CONTACT WITH THE MBE/WBE FIRM; <br />- <br />il: , �l"k�@ pW <br />Version 7/20/2018 Contractor's Bid for Public Works - 11 <br />