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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM MBE -2.1 <br />1865-=� <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 OF <br />Project Number: 121-029a WBE Participation Goal 4.1% <br />Project Name: Morris Performing Arts Center - Main Level Slab Replacement <br />Bidder: The Robert Henry Corporation <br />By;6W e, - John Callan, Project Manager 12/14/2021 <br />(Si ature) (Title) (Date) <br />WBE Firm State Barricading <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 />-Tc ic. CxAfo\ <br />Email: statebarricadel@aol.com <br />RESULTS OF CONTACT WITH THE WBE FIRM: <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 />Version 09/29/2021 Contractor's Bid for Public Works -15 <br />