Laserfiche WebLink
CITY OF SOUTH BEND Ilk "o <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY 'IL, <br />DEVELOPMENT PROGRAM k , <br />FORM MWBE-1.0 <br />MBE/YVBE PARTICIPATION <br />This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects involving MIBE/MBE participation. <br />It Is the bidder's sole responsibility to verify whether any listed minority orwoman business meets the qualifications of a Minority orWomen's <br />owned business. <br />Project Number: <br />Bidder: <br />1118-068 <br />Project Name: Great Lakes Capital Spec Building, 6545 Chet Waggoner Court Paving <br />ib1-ock---ExQaSMting_Inc Total Bid Amount: <br />MBEMBE Goal: <br />Pageof <br />Name & Address of MBENVBE <br />Primary Contact Person <br />INameffelephone) <br />Scope of Work to be Performed <br />(Attach scope/schedute if you need additional space) <br />Dollar Amount of <br />MBEMBE Component <br />Percentage <br />of Total <br />BidJPro22 at <br />To be deter r <br />dned <br />Submitted by: President W, Gary Niblock, Pr September 25, 2018 <br />Print Name Signature Date <br />Version 7/20/2018 Contractor's Bid for Publ'c Works - 8 <br />