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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY <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 />PAGE 1 OF <br />Project Number: 116-082D <br />MBE/WBE Participation Goal <br />Project Name: Miami Basin Valve ReplacementmP-rojectmm mm_ — ,- <br />Bidder: <br />By: <br />TIININC, <br />President <br />12/10/19 <br />615al )-M-atth w D. C6ift" (Title) (Date) <br />MBEM/BE Firm SEE ATTACHED <br />Owner or Contact at MBEIWBE 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 <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 MBEIWBE FIRM: <br />Email: <br />Email: <br />Version 4/2/2019 Contractor's Bid for Public Works - 10 <br />