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CITY OF SOUTH BEND p�SourxaF� <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY <br />DEVELOPMENT PROGRAM , w� <br />FORM MWBE-1.0Y <br />MBE/WBE PARTICIPATION" <br />This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects involving MBE/MBE participation. <br />It is the bidder's sole responsibility to verify whether any listed minority or woman business meets the qualifications of a Minority or Women's <br />owned business. <br />Project <br />Number: 119-106CR Project Name: Century Center Esports Arena <br />Total Bid MBE/WBE <br />Bidder: R. Yoder Construction, Inc. Amount: Goal: <br />Page1_ of 1 <br />Name & Address of MBEI BE <br />Primary Contact Person <br />(Name/Telephone) <br />Scope of Work to be <br />Performed <br />(Attach <br />scope/schedule if <br />you need additional <br />space) <br />Dollar Amount of <br />MBE/WBE Component <br />percentage of Total Bid/Proposal <br />Submitted <br />by: Jason Yoder., 07-28-2020 <br />Print Name natur Date <br />Version 4/2/2019 Contractor's Bid for Public Works - 8 <br />