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CITY OF SOUTH BEND'c <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY <br />DEVELOPMENT PROGRAM <br />FORM MWBE-2.1 <br />MBE/WBE CONTACTED <br />This completed form should be supplied with Bids that pertain to City of South Bend Public Works 1.1 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 OF <br />MBEM/BE Participation Goal � olo <br />Project Number: 119 078R..... ,....... - .........._�... _...... <br />Project Name: Ma <br />in & Colfax Parkin Structure Paint Removal <br />........ .....m..,........... <br />—._.,.�.....4 <br />Bidder: � � ���:r t � � ..�®�, z_;� � � -�c , <br />_._ .....s �. <br />By: <br />-w - �a <br />gr�atarr� :..Tit�e�'� <br />( ) (Date) <br />MBENVBE Firm <br />c7 r cam^ <br />Owner or Contact at MBE/WBE F irm �' �� <br />TYPE OF -��.q..��.... �.( : <br />Telephone <br />kFax: mail <br />! � � �. . _ ��p Q l (. C, � <br />WORK SOLICITED FOR THIS PROJECT: _ <br />L 4� <br />RESULTS OF CONTACT WITH THE MBENVBE FIRM: <br />MBE/WBE Firm <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 />Email: <br />r <br />Version 4/2/2019 Contractor's Bid for Public Works - 10 <br />