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CITY OF SOUTH BEND;Sou_ <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 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: 11B-083B <br />Project Name: JC Lauber Site Improvements <br />MBEIWBE Participation Goal <br />Bidder: <br />(Si ure) <br />itle) (Date) <br />MBEANBE Firm Vt-k r%Puc1K,'n <br />Owner or Contact at MBE/WBE Firm �g, <br />Telephone: S JY_d,3�. Idrv� Fax: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Email: <br />( ry k J <br />RESULTS OF CONTACT THE M/BEIWBE FIRM: <br />+WITH <br />�e- C i' ftI ti � d �J' <br />MBEMBE Firm <br />Owner or Contact at MBE/WBE Firm <br />Telephone: Fax: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Email: <br />— <br />RESULTS OF CONTACT WITH THE MBE/VIBE FIRM: <br />e— G r` -e—k e A y is _[ <br />Version 10/17/2017 Contractor's Bid for Public Works - 12 <br />