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CITY OF SOUTH BEND`"��'�'�, <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITYr <br />DEVELOPMENT PROGRAM <br />FORM MWBE-2.1 M <br />MBE/WBE CONTACTED <br />This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects <br />requiring contacted MBE/WBE 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 ol- OF_ �__ <br />Project Number:-119-004 MBE/WBE Participation Goal <br />Project Name/ 2019 Curb and Sidewalk Construction <br />Bidder: �p a ..° � . �� E6, : <br />(Title) " / (Date) <br />MBENVBE Firm V ' ,� 0 -7-.- <br />Owner or Contact at MBENVBE Firm V <br />Telephone: 5-74i Fax: Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE MBENVBE FIRM; <br />MBENVBE Firm <br />Owner or Contact at MBENVBE Firm () , <br />Telephone: S` 7 - 9 p -7 j Fax: Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />....._........................_.... l .l.........C.. vu............... _._. ._ __......_uuu.___..uu__.._._.................. <br />RESULTS OF CONTACT WITH THE MBE/WBE FIRM: <br />Version 10/1712017 Contractors Bid for Public Works - 6 <br />