Laserfiche WebLink
CITY OF SOUTH BEND `cs°ure°Ay <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY <br />i' <br />DEVELOPMENT PROGRAM <br />FORM MWBE-2.1 <br />MBEIWBE CONTACTED ss"s <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 />PAGE ) OF f <br />Project Number: 116-029A MBE/WBE Participation Goal 7.1% <br />Project Name: 2016 Curb and Sidewalk Construction Phase II <br />Bidder: Ziolkowski Construction, Inc. <br />By: 4L',GLe�� Bill Favors, President November 8 2016 <br />(Signature) (Title) (Date) <br />MBE/WBE Firm <br />Owner or Contact at MBE/WBE Firm <br />Telephone: Fax: Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE MBE/WBE FIRM: <br />MBEMBE Firm <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 - 12 <br />