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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 listed minority or woman business meets the qualifications of a Minority or Women's owned <br />business. / <br />PAGEOF { <br />Project Number: 118-005A MBE/WBE Participation Goal <br />Project Name: North Shore Drive Bank Stabilization <br />Bidder: -T <br />(Sig ature) <br />. (Title) (Date) <br />MBE/WBE Firm <br />Owner or Contact at MBE/WBE Firm <br />Telephone: '317 Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />,, <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 MBE/WBE FIRM: <br />Version 01/29/2020 Contractor's Bid for Public Works - 10 <br />