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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY <br />DEVELOPMENT PROGRAM <br />FORM MWBE-2.1 <br />MBE/WBE CONTACTED <br />Version 4/2/2019 Contractor’s Bid for Public Works - 11 <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 listed minority or woman business meets the qualifications of a Minority or Women’s owned <br />business. <br />Project Number: 120-044 <br />PAGE_______OF________ <br />WBE Participation Goal <br />Project Name: Ignition Park: EV Charging Park <br />Bidder: <br />By: <br />(Signature) (Title) (Date) <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 />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 />4.2% <br />2 2 <br />R. Yoder Construction, Inc. <br />Vice President of Operations 03-09-2021 <br />Slussers Green Thumb <br />John Williamson <br />800-762-7442 <br />Seeding <br />Did not recieve bid