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CITY OF SOUTH BEND '' "lei <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITYi, <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 />Project Number: <br />118-020 <br />PAGE I OF <br />MBEMIBE Participation Goal <br />Project Name: Wastewater Treatment Plant Raw Sewage Pump No. 2 Rehabilitation <br />Bidder:5, Au` <br />By: <br />(Signature)..t„c AiP� Sa %­-� (Title) (Date) <br />MBE/WBE Firm hJ/ A <br />Owner or Contact at MBE/WBE Firm <br />Telephone: <br />Fax: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE MBE/WBE FIRM: <br />MBE/WBE Firm N / <br />Owner or Contact at MBE/WBE Firm <br />Telephone: <br />Fax: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE MBEMBE FIRM: <br />Email: <br />Email: <br />Version 7/20/2018 Contractor's Bid for Public Works - 10 <br />IN <br />