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•S 1" �` <br />CITY OF SOUTH BENDscuTa=�,. <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY <br />DEVELOPMENT PROGRAMvnj; <br />FORM M <br />MBEIWBE CONTACTED ` 1 6Ss �r <br />This completed form should be supplied with Bids that pertain to City of South Bend Public Works Protects <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_�_ <br />Project Number: 117-088 <br />Project Name:,, Fire Stationh9 Demolitions <br />Bidder: ,P, <br />By: <br />(Title) <br />MBENVBE Participation Goal <br />MBENVBE Firm I/V- 4Q T� <br />Owner or Contact at MBE/WBE Firm <br />Telephone: 7 _ a3 _ 1j( p Fax. Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE MBENVBE FIRM: <br />'O-D <br />MBE/WBE Firm <br />Owner or Contact at MBENVBE Firm ', d r / " 6 c) r <br />Telephone: _ �aJ )j Fax: Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE MBENVBE FIRM: <br />42 <br />U <br />/zT 7 <br />(date) <br />Version 10/17/2016 Contractor's Bic! for Public Works - 10 <br />