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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 />woman -owned business meets the WBE qualifications. Attach additional pages if necessary. <br />PAGE 1 OF 1 <br />Project Number: 121-006A Div 1 WBE Participation Goal 5.4% <br />Project Name: /"(Division 1 — Kaley St) COSB 2021 Drainage Improvements <br />Bidder: Milestone Contractors North Inc. <br />By: s Director of Estimatin 8/2412021 <br />re) Dustin P. Hilary <br />(Title) <br />WBE/Firm State Barricading, Inc. <br />Owner or Contact at WBE Firm James Michalski <br />Telephone: 574-287-2078 Fax: 574-287-1744 <br />TYPE OF WORK SOLICITED FOR THIS PROJECT <br />Traffic Control <br />RESULTS OF CONTACT WITH THE WBE FIRM: <br />(Date) <br />Email: statebarricade1@aol.com <br />If Milestone Contractors North, Inc. is awarded the project, we'll execute a subcontract with State <br />Barricading, Inc. <br />WBE Firm Slusser's Green Thumb, Inc. <br />Owner or Contact at WBE Firm Carolvn Slusser <br />Telephone: 574-722-3102 Fax: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Sod & Seed <br />Email: css@slussers.com <br />RESULTS OF CONTACT WITH THE WBE FIRM: <br />If Milestone Contractors North, Inc. is awarded the project, well execute a subcontract with Slusser's Green <br />Thumb, Inc. <br />Version 08/16/2021 Contractor's Bid for Public Works - 23 <br />6 <br />Ae <br />CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM MBE-2.1 <br />'Zi <br />WBE 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 />woman -owned business meets the WBE qualifications. Attach additional pages if necessary. <br />PAGE 1 OF 1 <br />Project Number: 121-006A Div 1 WBE Participation Goal 5.4% <br />Project Name: /"(Division 1 — Kaley St) COSB 2021 Drainage Improvements <br />Bidder: Milestone Contractors North Inc. <br />By: s Director of Estimatin 8/2412021 <br />re) Dustin P. Hilary <br />(Title) <br />WBE/Firm State Barricading, Inc. <br />Owner or Contact at WBE Firm James Michalski <br />Telephone: 574-287-2078 Fax: 574-287-1744 <br />TYPE OF WORK SOLICITED FOR THIS PROJECT <br />Traffic Control <br />RESULTS OF CONTACT WITH THE WBE FIRM: <br />(Date) <br />Email: statebarricade1@aol.com <br />If Milestone Contractors North, Inc. is awarded the project, we'll execute a subcontract with State <br />Barricading, Inc. <br />WBE Firm Slusser's Green Thumb, Inc. <br />Owner or Contact at WBE Firm Carolvn Slusser <br />Telephone: 574-722-3102 Fax: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Sod & Seed <br />Email: css@slussers.com <br />RESULTS OF CONTACT WITH THE WBE FIRM: <br />If Milestone Contractors North, Inc. is awarded the project, well execute a subcontract with Slusser's Green <br />Thumb, Inc. <br />Version 08/16/2021 Contractor's Bid for Public Works - 23 <br />