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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 />PAGEOF <br />Project Number: 120-049 WBE Participation Goal 2.4% <br />Project Name: Randolph Park Area Improvements <br />Bidder: %/R�wI�L<n1 �nJr::FT 5�RJ�c5 <br />By: <br />/atu e (Title) (Date) <br />WBE Firm 5'T*TCl J,jl�/dR,:e_r AVL°vJG JW6 <br />Owner or Contact at WBE Firm �"A.r=y,�c> /VG#A1—S kr <br />Telephone:(52gj,) g?_,joyg Fax: Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE WBE FIRM: <br />WZ: e_-6- 64T -17Z -t -Z-,c //-&)W4404'0 <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 08/25/2021 Contractor's Bid for Public Works - 15 <br />SpUIIf Og�� <br />CITY OF SOUTH BEND <br />c <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />J <br />FORM MBE -2.1 <br />es ` <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 />PAGEOF <br />Project Number: 120-049 WBE Participation Goal 2.4% <br />Project Name: Randolph Park Area Improvements <br />Bidder: %/R�wI�L<n1 �nJr::FT 5�RJ�c5 <br />By: <br />/atu e (Title) (Date) <br />WBE Firm 5'T*TCl J,jl�/dR,:e_r AVL°vJG JW6 <br />Owner or Contact at WBE Firm �"A.r=y,�c> /VG#A1—S kr <br />Telephone:(52gj,) g?_,joyg Fax: Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE WBE FIRM: <br />WZ: e_-6- 64T -17Z -t -Z-,c //-&)W4404'0 <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 08/25/2021 Contractor's Bid for Public Works - 15 <br />