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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM MWBE-2.1 <br />MWBE CONTACTED <br />Version 1/13/2021 Page - 22 Public Works Quote <br />This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects <br />requiring Good Faith Efforts to contact MWBEs. It is the bidder’s sole responsibility to verify whether any listed <br />minority or woman business meets the MWBE qualifications. Attach additional pages if necessary. <br />Project Number: 121-035 <br />PAGE_______OF______ <br />WBE Participation Goal 6.1% <br />Project Name: 2021 Microsurfacing <br />Bidder: <br />By: <br />(Signature) (Title) (Date) <br />Email: <br />WBE Firm <br />Owner or Contact at WBE Firm <br />Telephone: Fax: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE WBE FIRM: <br />Email: <br />WBE Firm <br />Owner or Contact at WBE Firm <br />Telephone: Fax: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE WBE FIRM: