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DEVELOPMENT PROGRAM <br />FORM MWBE-2.1 <br />MBEIWBE CONTACTED <br />This completed forni should be Supplied with: Bids that partahi to City of South and Public Works Projects, <br />requiring cantacted MBEIWBE to obtain Good Faith Efforts. It Is the bidder's sole responsibility to verify <br />whether any listed rninority or w(,,wnan bushless Triepsts the qualificaltions of a Mir orlty or 'Nomeri's awnfacl <br />business. <br />PAGE_,� ,_PF.,Z <br />Project Number: 119-061 MBEMBE Participation Goal <br />Project Name* Press G <br />Bidder: M� 4 --'44- M.. -; 1 A --- T-- <br />A <br />Vice Presiden <br />(Signature) (Date) <br />111; 3; flyff AM -4 U M, <br />a#xfz <br />Owner or Contact at MBENVBE Firm <br />Telephone: ZZ: 2 <br />Fax: <br />Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />[111104YZAAMI <br />Owner or Contact at i <br />. .. .......... ....... . .... ..... .... <br />RESULTS OF CONTACT)AII-1-11 THE MBEMBE FIRW <br />Version J,/2/2019 Covvtnactor'a Bid for Flublic Ofixks -10 <br />