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CITY OF SOUTH BEND °v,HBTy. <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY <br />DEVELOPMENT PROGRAM ( 1g <br />FORM MWBE-2.1 <br />MBE/WBE CONTACTED �cG <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 fisted minority or woman business meets the qualifications of a Minority or Women's owned <br />business. <br />PAGE 1 OF 1 <br />Project Number: '116-074 MBE/WBE Participation Goal 7A% <br />Project Name: Demolition of Vacant and Abandoned Houses, Phase IX <br />Bidder & R Excavating, Inc. <br />By:/ jn Secretary 08/18/16 <br />i. (—> reS It - - (Title) (Date) <br />MBE/WBE Firm We did not receive any quotes or responses from our solicitations. <br />Owner or Contact at MBEiWBE Firm <br />Telephone: Fax: Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT: WITH THE MBEM/BE FIRM: <br />MBE/WBE Firm - - <br />Owner or Contact at MBEM/BE Firm - <br />Telephone -fax. Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE MBEIWBE FIRM: <br />i <br />Version 7/31/2015 Contractor's Bid for Public Works - 15 <br />