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SpliTlf'}� <br />CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />\ x <br />FORM MWBE-2.1- <br />MWBE CONTACTED <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 MBEs. It is the bidder's sole responsibility to verify whether any listed <br />minority or woman business meets the MBE qualifications. Attach additional pages if necess <br />PAGE r' <br />OF <br />Project Number: <br />120-063R <br />Project Name:905-907-909 Michi <br />Bidder: - A/ / �r,_�n,✓�t � <br />By: _ <br />( <br />MBE Firm <br />Owner or Contact at MBE Firm <br />Demolition <br />Telephone: %Y �, o .-2 Fax: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />rc-, <br />(Title) <br />MBE Participation Goal 1.4% <br />a -7—J( <br />(Date) <br />Email: Is C'i. l4JSP ` <br />v�w <br />9 <br />RESULTS OF CONTACT WITH THE /MBE FIRM: <br />MBE Firm <br />Owner or Contact at MBE Firm <br />Telephone: Fax: Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE MBE FIRM: <br />Version 01/13/2021 Contractor's Bid for Public Works - 12 <br />