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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 Z, OF <br />Project Number: 122-001 <br />Project Name: <br />Bidder: <br />By: <br />WBE Participation Goal Varies <br />2022 Curb and Sidewalk Construction — Round 1 <br />R, �^ le4-fV CO3. V& 6 11 (1, IV% <br />I—II—ZZ <br />(Signature) (Title) (Date) <br />WBE Firm i�U7 7'�"/`� �l�-t `(A I%M <br />Owner or Contact at WBE Firm 1® A/, 1N�'` I�t/ti►�0/� <br />Telephone: �Nc -! 2Z— Jt02 Fax: �-1`, ,7ZZ,-•ZM Email: ]d kl O' SIUSS�I .�GO�'1 <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />/I YtIA <br />RESULTS OF CONTACT WITH THE WBE FIRM: <br />If y J ! /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 09/29/2021 Contractor's Bid for Public Works - 21 <br />CITY OF SOUTH BEND' <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN`, <br />. <br />FORM MBE -2.1 <br />M_ j <br />..�. w <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 Z, OF <br />Project Number: 122-001 <br />Project Name: <br />Bidder: <br />By: <br />WBE Participation Goal Varies <br />2022 Curb and Sidewalk Construction — Round 1 <br />R, �^ le4-fV CO3. V& 6 11 (1, IV% <br />I—II—ZZ <br />(Signature) (Title) (Date) <br />WBE Firm i�U7 7'�"/`� �l�-t `(A I%M <br />Owner or Contact at WBE Firm 1® A/, 1N�'` I�t/ti►�0/� <br />Telephone: �Nc -! 2Z— Jt02 Fax: �-1`, ,7ZZ,-•ZM Email: ]d kl O' SIUSS�I .�GO�'1 <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />/I YtIA <br />RESULTS OF CONTACT WITH THE WBE FIRM: <br />If y J ! /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 09/29/2021 Contractor's Bid for Public Works - 21 <br />