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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 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_OF <br />1 <br />Project Number: 120-063R WBE Participation Goal <br />4.7% <br />Project Name: 905-907-909 Michigan Demolition <br />Bidder: <br />By: r��rd��✓/ --7 <br />(Si nature) (Title) (Date) <br />WBE Firm 19 de - <br />Owner or Contact at WBE Firm / <br />Telephone:�5 /Y- ),g JZ; 7 rJ' Fax: Email: ki,- tJ rr , L4 c <br />TYPE OF WORK SOLICITED FOR THIS PROJ)/ECT: <br />-71i I L 4 l /// w' 9 4 <br />RESULTS OF CONTACT WITH THE WBE FIRM: <br />a,Pirv� l <br />WBE Firm <br />Owner or Contact at WBE Firm <br />Telephone: '7Y y � u6d Fax: Email: <br />d <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 />