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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN ^� <br />?. <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 WBEs. It is the bidder's sole responsibility to verify whether any listed <br />minority or woman business meets the WBE qualifications. Attach additional pages if necessary. <br />PAGE I OF % <br />Project Number: 120-063 _ WBE Participation Goal 4.7% <br />Project Name: 905-907-909 ichi an De on <br />Bidder'-) A /3 <br />(Title) <br />WBE Firm <br />Owner or Contact at WBE Firm <br />Telephone: Fax: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Email: <br />1 <br />RESULTS OF CONTACT WITH THE WBE FIRM: <br />WBE Firm <br />Owner or Contact at WBE Firm <br />Telephone. Fax: Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE WBE FIRM: <br />Version 01/13/2021 Contractor's Bid for Public Works - 13 <br />Fb7 <br />`- / -3 <br />(Date) <br />