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o� u <br />CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY <br />.� DEVELOPMENT PROGRAM <br />FORM MWBE-Z.Q <br />EVIDENCE OF GOOD FAITH EFFORTS <br />This completed form should be included as part of the Bids documents related to City of South Bend Public <br />Works Projects requiring Good Faith Efforts to obtain MSEl1NBE participation. it is the bidder's sole <br />responsibility to verify whether any listed minority or woman business meets the qualifications of a Minority <br />or Women's owned business as defined by the Indiana Department of Administration ("EDOA"). <br />Project Number: 117-027 Date; November 14, 2017 <br />Project Name, Farmington Lift Station 14A Rehabilitation <br />Bidder: John Boettcher Sewer & Excavating Contractor <br />Contact Person: John Boettcher Telephone: 574-259-1418 <br />Address: 3305 N Home Street <br />City: Mishawaka State: I Zip: 46545 <br />Email: JohnW@JohnBoettcher.comcastbiz.net <br />To determine whether a bidder has demonstrated good faith efforts to reach the MBENVBE utilization goals set <br />forth in the City of South Bend Public Works Project Specifications, the City and its agencies, boards, or <br />commissions, REQUIRE ALL of the following Good Faith Efforts as listed in the table below`: <br />EVIDENCE OF GOOD FAITH EFFORTS <br />MBEIWBE LIST(S): The bidder reviewed the City of south Bend's Minority and Women Business <br />Enterprise Diversity Development Program, which uses the IDOA approved list of Minority and women <br />Owned Business as found on their website (http:/Iwww.in.gov/idoa). <br />ACTION (ADVERTISEICONTACT): In order for your bid to be deemed responsive, the City of South <br />Bend requires that all perspective bidders complete no less than 2 of the following: <br />1. Attend all preLbid meetings scheduled by the City to inform MBEM/BEs of contracting and <br />subcontracting opportunities. <br />2. Advertise in general circulation and/or trade association publications concerning subcontracting <br />opportunities, and allow MBFJWBEs reasonable time to respond. <br />3. Perform any and all necessary steps to provide written notice In a manner reasonably calculated <br />10 inform MBEMIBEs of subcontracting opportunities and allowed sufficient time for them to <br />participate effectively. <br />4. Utilize pre-existing services of available community organizations, small and/or disadvantaged <br />business assistance offices and other organizations that provided assistance in the recruitment <br />and placement of MBENVBE firms_ <br />*Bidder. must circle or otherwise notate which of the two (2) required actions were performed. <br />GOOD FAITH NEGOTIATIONS: The bidder negotiated in good faith with interested MBE1WBEs, <br />including providing such MBEANSE's with adequate information aboutlhe plans, specifications and other <br />requirements of the subcontract and did not reject MBE/VVSEs as unqualified without sound business <br />reasons based on a thorough investigation of their capabilities. <br />SMALL CONTRACT(5): The bidder selected specific portions of the work to be performed by <br />MBEIWBEs in order to increase the likelihood of meeting the MBE/WBE goals (including breaking down <br />contracts into smaller units to facilitate MBEIWBE participation) <br />CONTRACT RECORDS: The bidder has maintained the following records for each MBEiWBE= that has <br />bid on the subcontracting opportunity: <br />1, Name, address, and telephone number; <br />2. A description of information provided by the bidder or subcontractor; and <br />3. A statement of whether an agreement was reached, and if not, why not, including any reasons for <br />concluding that the MBENVBE was unqualified to perform the job. <br />"Proper demonstration of Good Faith Effort requires your initials next to all of the above boxes. Any <br />omissions shall be considered grounds for rejection of the bid by the Board of Public Works. The City of <br />South Bend reserves the right to request additional information. <br />Version 8/2212017 Contractor's Bid for Public Works -10 <br />