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CITY OF SOUTH BEND�j°"� <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY„ <br />DEVELOPMENT PROGRAMS <br />FORM MWBE-2.1 <br />MBEIWBE CONTACTED ra <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 y OF <br />Project Number: 118-090 MBE/WBE Participation Goal <br />Project Name: Technology Resource Center <br />Bidder: . era- vh�4 �-- R„-4, A -- T— <br />By: <br />(Signature) (Title) (Date) <br />MBEM/BE Firm <br />Owner or Contact at MBE/WBE Firm <br />Telephone: ' Ci " -- .:. Z � Fax: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE MBE/WBE FIRM: <br />Email: ....)y -X � <br />MBE/WBE Firm <br />1 2 I °" IAIC— <br />Owner or Contact at MBE/WBE Firm <br />Telephone' <br />s Fax: Email: <br />TYPE OF WORK SOLICITED OR T � , ~IT � � µ� HIS PROJECT: <br />) <br />RESULTS OF CONTACT WITH THE MBE/WBE FIRM: <br />Version 8/16/2018 Special Provisions - 12 <br />