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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 <br />listed minority or woman business meets the WBE qualifications. Attach additional pages if necessary. <br />PAGE__ 0 _OF <br />Project Number: <br />Project Name: <br />120-009 <br />Dubail Avenue Streetscape <br />WBE Participation Goal 5.5% <br />Bidder: <br />By: <br />r mJ'� �e,V /—,I <br />(Signat e) <br />WBE Firm <br />I <br />f u �W`f e <br />(Title) (Date) <br />Owner or Contact at WBE Firm <br />CCWIeL Girls:,.-� <br />Telephone: (Pr_ Oryx Fax: at /' Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE WBE FIRM: <br />G" Ety v �1 <br />rat, O <br />WBE Firm <br />�p, �,1 S�/`u <br />'t✓� &kaaly <br />Owner or Contact at WBE Firm <br />Telephone: jwy. <br />%Te_rc,5,a 84J/1_1V V l <br />Fax: Email: // <br />-� tP. <br />VIUI.�. <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: / <br />RESULTS OF CONTACT WITH THE/ WBE FIRM: <br />(>�'�t ✓bL I' Or��� de'e� <br />Version 01/13/2021 Contractor's Bid for Public Works - 16 <br />