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CITY OF SOUTH BEND A•, <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY :. <br />DEVELOPMENT PROGRAM <br />�• <br />ouz, umnx• <br />FORM MWBE-2.1 <br />MBENVBE 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 />PAGE O <br />Project Number: 118-090 MBE/WBE Participation Goal <br />Project Name: Technology Resource Center <br />Bidder: ,-) w n.A-A"�,4 f--- 'R,,,-11 A-- . ,•..,... <br />By• <br />_M <br />(Signature) (Title) (Date) <br />MBENVBE Firm <br />Owner or Contact at MBENVBE Firm <br />Telephoner" Email: ) 17A ilf r ,' ... <br />TYPE OF WORK SOLICITED OR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE MBENVBE FIRM: <br />MBENVBE Firm <br />Owner or Contact at MBENVBE Firm <br />Telephone:µ,. Fax: Email: <br />�Il+..•.q '� <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE MBENVBE FIRM: <br />Version 8/16/2018 Special Provisions - 12 <br />