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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 OF <br />Project Number: 122-045 WBE Participation Goal 5.49% <br />Project Name: ain Street Improvements Between Sherwood Street and Dean Street <br />Bidder: one Contractors North, Inc. <br />By: _ Director of Estimating 11/8/2022 <br />(Signature) QLaAMi-P. Hilary (Title) (Date) <br />WBF Firm State Barricading, Inc. <br />?wner or Contact at WBE Firm lamps Mirhalcki <br />Telephone: 574-287-2078 Fax: 574-287-1744 Email: statebarricadel(Maol.com <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Traffic Control & Sheet Signs <br />RESULTS OF CONTACT WITH THE WBE FIRM: <br />If we are awarded the project, we'll enter into a subcontract with State Barricading, Inc. <br />WBE Firm V & R Trucking, Inc. <br />Owner or Contact at WBE Firm Veda Godette <br />Telephone: 574-234-1268 Fax: 574-234-0748 Email: rfightingirish@aol.com <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Hauli <br />RESULTS OF CONTACT WITH THE WBE FIRM: <br />IF we are awarded the project, we'll enter into a Hauling Agreement with V & R Trucking, Inc. <br />Version 09/29/2021 Contractor's Bid for Public Works -16 <br />