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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM MBE -2.1 <br />( \ ' ==�a= <br />`~K8BECONTACTED <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-owned business meets the MBE qualifications. Attach additional pages if necessary. <br />PAGE OF <br />Project Number: 121'061R MBE Participation Goal <br />Project N Ward Bk Exterior <br />Bidder: <br />4 U J 0 <br />Firm <br />Owner or Contact at MBE Firm M FC W-)- 1, <br />Telephone: 31 Fax: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OFCONTACT WITH THE MBE FIRM: <br />IVH <br />Owner or Contact at MBE Firm <br />Fax: Email: <br />Telephone: 61 56 <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />If <br />Version 09/29/2021 Contractor's Bid for Public Works 15 <br />