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CITY -OF SOUTH BEND _tyossTr�o - <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY <br />DEVELOPMENT PROGRAM <br />FORM MWBE-2.1 <br />MBEIWBE CONTACTED <br />This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects <br />requiring contacted MSEIWBE 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: 117-033A <br />Project Name: <br />Bidder: <br />�j <br />By: 0 - ` <br />(Signature) <br />PAGE—J^OF <br />MBE/WBE Participation Goal 470 <br />Ironwood Drive Sidewalk Edison Road to S.R. 23 <br />✓ A + J r, C o v%c, v L- ., C- <br />MBEIWBE Fim1 Yr 1 C U 1-, {- <br />Owner or Contact at MBEIWBE Firm <br />(Date) <br />Telephone: 2L32- && /) 0 Fax: I Email: •TvC, t ri ` TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE MBEIWBE FIRM: N)O+ �n v�,[ '. /I r. +c C, f 1n ;) / or <br />MBEIWBI Firm " ] Qve vti L OA <br />Owner or Contact at MBE/WBE Firm y <br />ec c <br />Telephone: 5 " - '- �d Fax: Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: J ✓J <br />r - <br />RESULTS OF CONTACT WITH THE MBEIWBE FIRM: <br />U110 vm 6e-f- 404 i ve lilt[ atj <br />11 tt <br />Version 10/17/2016 Contractor's Bid for Public Works - 10 <br />