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CITY D O <br />OF SOUTH BEND <br />MINORITY ANWMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM MWBE-2.1 <br />N. <br />This completed form should be supplied with Bids that pertain to city of - South —Bernd Public Works Projects <br />requiring Good Faith Efforts to contact MWBEs. It is the bidder's sole responsibility to verify whether any listed <br />minority or woman business meets the MWBE qualifications. Attach additional pages If necessary. <br />PAGE 1 OF 2 <br />Project Number: 120.019 <br />MWBE Participation Goal <br />Project Name: 1201 Western Ave. Sidewalk Vault Repair <br />Bidder: John Boettcher Sewer & Excavating Contrac o <br />By: ------ ___ . ..... ------- --- <br />(Signature) (Title) (Date) <br />MWBE Firm State Barricading, PO Box 3751, South Bend, IN 46619 <br />Owner or Contact at MWBE Firm Bill <br />Telephone: 574-287-2078 Fax: 574-287-1744 Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Traffic Control <br />RESULTS OF CONTACT WITH THE MWBE FIRM: No response for reauest to bid <br />Owner or Contact at MWBE Firm Veda Godette <br />Telephone: 574-234-1268 Fax: Email: rfightirish@aol.com <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: Fill sand trugKng___-- <br />RESULTS OF CONTACT WITH THE MWBE FIRM: No responseforrequest to bid <br />Version 2/14/2020 Page - 15 Public Works Quote <br />