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CITY OF SOUTH BEND �•"'� waa ���ey, <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY <br />DEVELOPMENT PROGRAM <br />FORM MWBE-2.1 "µµ <br />M <br />MBE/WBE CONTACTED MIA <br />This whethermalted form listed minority <br />be supplied with Bids that pertain to City of South Bend Public Works Protec <br />requiring contacted MBE/WBE to obtain Good Faith Efforts. It is the bidders sole responsibility to verify <br />y y or woman business meets the qualifications of a Minority or Women s owned <br />business. <br />PAGE 1 OF 1 <br />Project Number: 118-099R MBE/WBE Participation Goal 0% <br />Project Name: Muessel Grove Public Restroom Renovation <br />Bidden ich• n Con <br />aotielg Inc <br />.. <br />By: <br />m° -" President October 8th, 2019 <br />(Signature) (Title) (Date) <br />MBE/WBE Firm N/A <br />Owner or Contact at MBE/WBE Firm <br />Telephone: Fax Email;. <br />TYPE OF WORK SOLICITED FOR <br />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: Email: <br />TYPE OF WORK SOLICITED FOR TH <br />IS PROJECT.. <br />RESULTS OF CONTACT WITH THE MBE/WBE FIRM: <br />Version 4/2/2019 Contractor's Bid for Public Works - 20 <br />