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CITY OF SOUTH BEND o4 �urcr"�;r1 <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY u a,� <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 MBEIWBE 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: <br />117-127 MBENVBE Participation Goal <br />Project Name: South Bend Fire Department Training Center Classroom Buildin <br />Bidder: n _ "71v. &P v4 [- ,n u .1 Ob rWuJ_ a-n <br />By: <br />MBE/WBE Firm <br />Owner or Contact at MBE/WBE Firm Arool d <br />Telephone: a, „q / ' 5„- 4o 1�1`i Fax: aj� Lr i <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Email: <br />RESULTS OF CONTACT WITH THE MBE/WBE FIRM: Sf44 Bfd <br />MSENVBE Firm <br />(Date) <br />-7 H <br />Owner or Contact at MBENVBE Firm U GrbC S <br />Telephone: Fax: Email: <br />�G - �,3r� - G � 8fi ud stina e r , <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE MBEIWBE FIRM: 100 %u SU - [V R i2>4 <br />Version 10/17/2017 Contractor's Bid for Public Works - 10 <br />