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CITY OF SOUTH BEND s'a'Hx <br />ow - <br />MINORITY AND WOMENBUSINESS ENTERPRISE DIVERSITY. <br />DEVELOPMENT PROGRAM Z <br />FORM MWBE-2.1 <br />MBE/WBE CONTACTED rses y <br />This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects <br />requiring contacted MBE/WBE to obtain Good Faith Efforts. It is the bidder's sole responsibility to verify <br />whether any listedminority or woman business meets the qualifications of a Minority or Womern's owned <br />business. <br />PAGE 1 OF 1 <br />Project Number: 120-036 MBE/WBE Participation Goal 7 ° 1 5 <br />Project Name: WWTP Masonry improvements Gallery Buildings 1-4 <br />Bidder: Larson Danielson Construction Company, Inc. <br />By: X Timothy F. Larson, President 10/13/20 <br />(Signature) (Title) (Date) <br />MBE/WBE Firm See attached Good Faith Effort <br />Owner or Contact at MBE/WBE Firm <br />Telephone: Fax: Email: <br />TYPE OF WORKSOLICITEDFOR 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 THIS PROJECT: <br />RESULTS OF CONTACT WITH THE MBEIWBE FIRM: <br />Version 4/2/2019 Contractor's Bid for Public Works - 11 <br />