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HomeMy Public PortalAboutMSD Construction Form B 1 =Did Not Propose; 2 =Not Competitive; 3 = Other (specify reason) Rev 1 2023 METROPOLITAN ST. LOUIS SEWER DISTRICT FORM B GOOD FAITH EFFORT REPORT FOR CONSTRUCTION PROJECTS Prime: ______________________________________ Project Name & No: _____________________________________ I certify that I have contacted the following certified firms for participation on the above referenced project and will not be subcontracting with them for the reasons stated below: MBE/WBE Firm Name and Address Firm’s Contact Name, Number, and Email Certification Agency Certification Type MBE or WBE Reason for Non-Utilization*: 1-2-3 List All Methods of Contact with Dates: 1. _____________________ _______________________ _______________________ 2. _____________________ _______________________ _______________________ 3. _____________________ _______________________ _______________________ 4. _____________________ _______________________ _______________________ 5. _____________________ _______________________ _______________________ 6. _____________________ _______________________ _______________________ 7. _____________________ _______________________ _______________________ 8. _____________________ _______________________ _______________________ 9. _____________________ _______________________ _______________________ This page may be duplicated and submitted with all of the information fields listed. Prime Contractor Authorized Signature ______________________________________ Date ____________________________________