Laserfiche WebLink
CITY OF SOUTH BEND <br />asn�rn w <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY <br />DEVELOPMENT PROGRAM <br />FORM MWBE-1.0'/ <br />MBE/WBE PARTICIPATION <br />Btsro4. <br />This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects involving MBE/MBE participation. <br />It is the bidder's sole responsibility to verify whether any listed minority or woman business meets the qualifications of a Minority or Women's <br />owned business. <br />Project�-07� � Project Name: M l�l Bid Amount:an Ste. oQt -Of <br />lu�n rovergtef�ts <br />Number: 17 <br />Bidder: t� d �� �!I MBENVBE Goal: <br />Page of <br />Name &Address of MBENUBE <br />Primary Contact Person <br />(Name/Telephone) <br />Scope of Work to be Performed <br />(Attach scope/schedule if you need additional space) <br />Dollar Amount of <br />MBE/WBE Component <br />Percentage <br />oTotal <br />f <br />Bid/ProDosal <br />ST VOVI'I�iw <br />'�i <br />�A^1 G�S k1 <br />spy-zB7-?A78 <br />�'� ��, ��, <br />���`S�•� <br />I.�96. <br />Submitted by: "�-'I", `"",,�r"""� <br />Print Name a ure Datti <br />Version 7/20/2018 Contractor's Bid for Public Works - 10 <br />