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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY <br />DEVELOPMENT PROGRAM Rf; <br />FORM MWBE-2.0� <br />EVIDENCE OF GOOD FAITH EFFORTS <br />This completed form should be included as part of the Bids documents related to City of South Bend Public <br />Works Projects requiring Good Faith Efforts to obtain MBE/WBE 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 Women's owned business as defined by the Indiana Department of Administration ("IDOA"). <br />Project Number: 116-127A Date: <br />Project Name: Sheridan Street and Sample Street Signal Improvements <br />Bidder: f �'�, ie �� Cans ur Tl tea-) (2-6., Inc, <br />Contact Person: Pfl" G)r# 00n Telephone: <br />Address: (, <br />City: o144� 8.E4,j State: IAJ Zip: + <br />Email: Y�L <br />To determine whether a bidder has demonstrated good faith effor s to reach the MBE/WBE 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 Faith Efforts as listed in the table below*: <br />r1 VPUU aUrnvnsiration or %jooa rann trron requires your initials next to all of the above boxes. Any <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 />Version 4/2/2019 Contractor's Bid for Public Works - 11 <br />EVIDENCE OF GOOD FAITH EFFORTS <br />,,,'MBE/WBE LIST(S): The bidder reviewed the City of South Bend's Minority and Women Business <br />Enterprise Diversity Development Program, which uses the IDOA approved list of Minority and Women <br />Owned Business as found on their website (http://www.in.gov/idoa). <br />ACTION (ADVERTISE/CONTACT): In order for your bid to be deemed responsive, the City of South <br />Bend requires that all perspective bidders complete no less than 2 of the following: <br />1. Attend all pre-bid meetings scheduled by the City to inform MBE/WBEs of contracting and <br />subcontracting opportunities. <br />2. Advertise in general circulation and/or trade association publications concerning subcontracting <br />opportunities, and allow MBE/WBEs reasonable time to respond. <br />3. Perform any and all necessary steps to provide written notice in a manner reasonably calculated <br />to inform MBE/WBEs of subcontracting opportunities and allowed sufficient time for them to <br />participate effectively. <br />Utilize pre-existing services of available community organizations, small and/or disadvantaged <br />business assistance offices and other organizations that provided assistance in the recruitment <br />and placement of MBE/WBE firms. <br />**Bidder must circle or otherwise notate which of the two (2) required actions were performed. <br />GOOD FAITH NEGOTIATIONS: The bidder negotiated in good faith with interested MBE/WBEs, <br />including providing such MBE/WBE's with adequate information about the plans, specifications and other <br />requirements of the subcontract and did not reject MBE/WBEs as unqualified without sound business <br />reasons based on a thorough investigation of their capabilities. <br />.SMALL CONTRACT(S): The bidder selected specific portions of the work to be performed by <br />MBE/WBEs in order to increase the likelihood of meeting the MBE/WBE (including breaking down <br />goals <br />contracts into smaller units to facilitate MBEMBE participation) <br />CONTRACT RECORDS: The bidder has maintained the following records for each MBE/WBE that has <br />w bid on the subcontracting opportunity: <br />1. Name, address, and telephone number; <br />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 MBE/WBE was unqualified to perform the job. <br />r1 VPUU aUrnvnsiration or %jooa rann trron requires your initials next to all of the above boxes. Any <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 />Version 4/2/2019 Contractor's Bid for Public Works - 11 <br />