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MBE/WBE CONTACTED <br />FORM 2.1 <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 listed minority or woman business meets the qualifications of a Minority or Women's owned <br />business. <br />Project Number: <br />Project Name: <br />Bidder: <br />By: <br />PAGE 1 OF <br />116-083D MBE/WBE Participation Goal 7.1% <br />Randolph Street Basin Emergency Repair <br />President <br />MBENVBEFirm **See Attached <br />Owner or Contact at MBENVBE Firm <br />Telephone: Fax: Email <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE MBENVBE FIRM <br />ITIMAWYAQ:17GT� <br />Owner or Contact at MBENVBE Firm <br />Telephone: Fax Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE MBENVBE FIRM: <br />Version 7/28/2016 Contractors Bid for Public Works - 27 <br />10/20/16 <br />(Date) <br />