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CITY �.n <br />MINORITY BUSINESS ENTERPRISE DIVERSITY' <br />DEVELOPMENT <br />a^a reams <br />'6 FORM <br />-® rf <br />EVIDENCE OF GOOD FAITH EFFORTS <br />This completed fo should be included as part of a Bids documents related to City of South Be11 nd public <br />Works projects requiring Good Faith Efforts to obtain MBEMBE participation® It is the bidder's sole <br />responsibility to verify whether any listed minority or woman business meets the qualifications of a Minority <br />or o en°s owned business as defined by the Indiana Department of Administration (I-I-1). <br />Project NuNumber:1 Date: April 14, 20 <br />20 <br />Project Name:WashingtonStreetImprovements <br />I— .._ .. <br />Bidder: WalshKelly, Inc. <br />Contact Person: Dustin P. Hilary, VP of South rid... . opone...........574- ®4 11 <br />City: South Bend State: IN zip. ___46614 <br />Email: dhilary@waishkelly.com <br />To determine whethei a bidder has demonstrated good Faith efforts to #each the MBENVBE utilization goals set <br />forth in the City of South Bend Public Works Project Specifications, the City and its agencies, boards, or <br />commissions, REQUIRE ALL of the following Good Fab Efforts as listed in the table below*: <br />SMALL CONTRACT(S): The bidder selected specific portions of the work to be pe o ed <br />MBE/WBEs in order to increase the likelihood of meeting the MBE/WBE goals (including b g do <br />racts into smaller units to facilitate MBENVBE participation) <br />n the subcontracting opportunity: <br />1. Name, address, and telephone number; <br />x 2. A description of information provided by the bidder or subcontractor; and <br />3. A statement of whether an agreement was reached, and if not, why not, including any reasons for <br />concluding that the MBEIWBE was unqualified to perform the job. <br />omissions shall be considered grounds for rejection of the bid by the Board of Public Works. The City of <br />South Bend reserves the right to request additional information. <br />