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Ott T%n BEb <br />4 <br />CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM MBE-2.0 <br />EVIDENCE OF GOOD FAITH EFFORTS <br />This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects requiring <br />Good Faith Efforts to contact WBEs. It is the bidder's sole responsibility to verify whether any listed woman -owned <br />business meets the WBE qualifications. Attach additional pages if necessary. <br />Project Number. - <br />Project Name: <br />Bidder: <br />By: <br />123-019 <br />2023 Street & Sewer Material Bid <br />PAGE OF <br />WBE Participation Goal NIA <br />(Signature) (Title) (Date) <br />WBE Firm <br />Owner or Contact at WBE Firm <br />Telephone: Fax: Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE WBE FIRM: <br />WBE Firm <br />Owner or Contact at WBE Firm <br />Te€ephone: Fax: Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE WBE FIRM: <br />Version 09/29/2021 Contractor's Bid for Public Works - 21 <br />