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This completed forjn 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 N mber: 118-080A MBE/WBE Participation Goal <br />Pro' ct me: ;Gemini_Washington -Colfax Apartments — IMPROVEMENTS <br />Bid r: Wolf CpTyflercial Roofing, Inc. <br />By: President 9/10/2018 <br />(Si ature) (Title) (Date) <br />MBE/WBE Firm Robert I - fisher Enterprise Unlimited <br />Owner or Contact at MBEtWBE Fi Robert Fisher <br />Telephone: 608-216-7476 Fax: 847-78978611 Email: bobfisher72@msn.com <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: Roofing material supplier <br />RESULTS OF CONTACT WITH THE MBEMBE FIRM: Quote was higher priced. <br />MBEIWBE Firm <br />Owner or Contact at MBE/WBE Firm <br />Telephone: Fax: Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE MBEIWBE FIRM: <br />Version 712012018 sContractor's Bid for Public Works - 11 <br />