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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY <br />DEVELOPMENT PROGRAM <br />FORM MWBE-1.0 <br />MBEIWBE PARTICIPATION <br />This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects invol► <br />It is the bidder's sole responsibility to verify whether any listed minority or woman business meets the qualificatio <br />owned business. <br />Project Number: <br />Bidder: <br />117-088 <br />Project Name: Fire Station #9 Demolitions <br />L4,� (, ., the Total Bid Amount: 00,`' <br />Name & Address of MBENVBE <br />Primary Contact Person <br />(Nameffelephorrne) <br />Scope of Work to be Performed <br />(Attach scope/schedule if you need additional space) <br />M <br />e �r �7: L, JJ <br />A3 <br />3.� �v i-l+jG i I i%4 IJ r <br />V / i, - <br />�d,C] <br />K <br />Submitted by: r7�ff <br />Print Name ature p <br />Version 10/17/2016 Contractor's Bid for Public Works - 8 <br />