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This completed form should be supplied with Bids that pertain to City of South Bend Public Works 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 1 OF-2- <br />Project <br />F2Project Number: 118-OOSA MBE/WBE Participation Goal <br />Project N North Shore Drive Bank Stabilization <br />Bid o i Co ruction CompanV Inc. <br />By: President December 8, 2020 <br />(Signature) (Title) (Date) <br />MBE/WBE Firm State Barricading. Inc. <br />Owner or Contact at MBE/WBE Firm James Michalski <br />Telephone: 574-287-2078 Fax: 574-287-1744 Email: statebarricade1 @aol.com <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: Maintenance of Traffic & Pavement Markinqs <br />RESULTS OF CONTACT WITH THE MBE/WBE FIRM <br />Utilized in Bid as a Subcontractor <br />MBE/WBE Firm Slusser's Green Thumb Inc. <br />Owner or Contact at MBE/WBE Firm John Williamson <br />Telephone: 574-722-3102 Fax: 574-722-2993 Email: JDWP_Slussers.com <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: Landscaping & Seeding Items <br />RESULTS OF CONTACT WITH THE MBE/WBE FIRM: Utilized in Bid as a Subcontractor. <br />Version 01/29/2020 Contractor's Bid for Public Works - 10 <br />