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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM MWBE-2.1 <br />MWBE CONTACTED <br />This completed form should be supplied with Bids that pertain to City of South Bend 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 />PAGEOF <br />Project Number: 120-047 MWBE Participation Goal <br />Project Name: Liberty Tower Exterior Improvements — Phase 11 <br />Bidder: Dudeclk Roofing and Sheet Metal, Inc. <br />By: Project Manager 9/8/20 <br />kSighatunb) (Title) (Date) <br />MWBE Firm N/A <br />Owner or Contact at MWBE Firm <br />Telephone: Fax: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Email: <br />Ducleck Roofing and Sheet Metal is a certified Women's Business Enterprise in the State of Indiana <br />RESULTS OF CONTACT WITH THE MWBE FIRM: <br />MWBE Firm <br />Owner or Contact at MWBE Firm <br />Telephone: Fax: Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE MWBE FIRM: <br />Version 2/14/2020 Page - 17 Public Works Quote <br />