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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLANv:h <br />'f9 iia t <br />FORM WBE-2.1 v . �, <br />WBE CONTACTED (ALTERNATE #1) <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 °'> OF <br />Project Number: 120-014 WBE Participation Goal 4.3% (Alternate #1) <br />Project Name: Potawatomi Zoo Parking Lot <br />Bidder: y�.. <br />i <br />(Signature) (Title) (Date) <br />WBE Firm <br />Owner or Contact at WBE Firm <br />Telephone: Fax: Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE WBE FIRM: <br />WBE Firm Sk <br />Owner or Contact at WBE Firm <br />Telephone: S -7q- ?a Fax: Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE WBE FIRM: ` <br />Version 10/28/2021 Contractor's Bid for Public Works - 22 <br />