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CITY OF SOUTHI BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITYPi <br />DEVELOPMENT PROGRAM <br />FORM MWBE-2.1 <br />MBEfWI3E CONTACTED <br />. ........... ....... — <br />-This comple d form should be supplied with Bids Mc to City —of South Band 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 wornan business, meats the qualifications of a Minority or Wornen's owned <br />business. '5 PAGiE OF <br />7� <br />9MMUNSEMIGEM <br />lyllagwvygul�-�� <br />Project Name.- Press Ganey Administration Building Site Improvements <br />Bidder: ,-7 ern !n'VVf-xr IR-41A.— T-- <br />By: . . ..... -v <br />(Signature) <br />MERE Firm <br />Owner or Contact at MBEIWBE Firm <br />0 =I- <br />. . . ......... ... .. <br />Telephone, Fax: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />M. 33r.- MT <br />I MA[ff Ira <br />Owner or Contact at I <br />Telephone:d.-- <br />Far. <br />(Title) <br />Email: <br />Email: FN <br />/v <br />Version 412/2019 Contraictor"s Bid for Public Works - 10 <br />