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f <br />CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN j ry <br />FORM MBE -2.1:1, ' <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 bldder's sole responsibility to verify whether any listed <br />woman -owned business meats the WBE qualifications. Attach additional pages If necessary. <br />PAGE OF <br />Project Number: 120-046 WBE Participation Goal 4.5% <br />Project Name: Traffic Signal Detection Improvements <br />Bidder: awk Ent isesInc. <br />By: President 10/26/2021 <br />(S Wre) (Title) (Date) <br />WBE Firm State Barricading, Inc. <br />Owner or Contact at WBE Firm James Michalski <br />Telephone: 574-287-2078 Fax: 574-287-1744 Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Supply Construction Signs and Cones <br />RESULTS OF CONTACT WITH THE WBE FIRM: <br />Will rent construction signs and cones <br />WBE Firm <br />Owner or Contact at WBE Firm T <br />Telephone: Fax: Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE WBE FIRM: <br />Version 08125/2021 Contractor's Bid for Public Works - 20 <br />