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CITY OF SOUTH BENDa <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM MWBE-2.1 x " <br />`•e. 1865 ..� <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 1 OF -1 <br />Project Number: 121-049 WBE Participation Goal 6.0% <br />Project Name: 2021 Contractor Paving Round 3 <br />Bidder: 42c/ <br />eth- ile Construction Co., Inc. <br />By:Sales Manager August 10, 2021 <br />(Signature) (Title) (Date) <br />WBE Firm -a �A r ging <br />Owner or Contact at WBE Firm �� /���� S• <br />Telephone:5*79.. 29.1. 267 Fax: l'• -1d- � 8'• 17 Email: Sk rr-1 c. C.Cle- �� moi: ® <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE WBE FIRM: USe.. I�143� -jrwa si' <br />9 Z <br />WBE Firm <br />Owner or Contact at WBE Firm <br />Telephone:D • V9-061 7 Fax: • yi T• 7 Email: b •� naa ,. i � !'YraJ ( . <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: 'r-'r <br />um ��,^ <br />RESULTS OF CONTACT WITH THE WBE FIRM: l u se <br />VV�T 1T �Y1/gr�t°ld% <br /><' • e G1. <br />Version 01/13/2021 Contractor's Bid for Public Works - 15 <br />