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•�•w 17i. q�. <br />CITY OF SOUTH BEND ` <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM <br />PLAN x <br />FORM WBE-2.1 <br />This completed form should be supplied with Bids that pertain to Citv of South Bend Public Works Proiects <br />requiring Good Faith Efforts to contact WBEs. It is the bidder's sole responsibility to veri whether an <br />listed woman -owned business meets the WBE qualifications. Attach additional pages if necessary. <br />PAGE 1 OF 1 <br />Project Number: ,J23-040 WBE Participation Goal 3.6% <br />Project Name VPA Athletic Court Renovations, Phase3, 2023 <br />Bidder: , Ail ne Contractors North, Inc. <br />By: <br />ry (Title) <br />(Date) <br />Pl- <br />Firm State Barricading. Inc. _ <br />Owner or Contact at WBE Firm James Michalski <br />Telephone: 574-287-2078 Fax: 574-287-1744 statebarricade1 Qaol.com <br />Email: TYPE OF WORK <br />SOLICITED FOR THIS PROJECT: <br />Traffic Control Devices <br />RESULTS OF CONTACT WITH THE WBE FIRM: <br />If we're awarded the project. we'll enter into a subcontract with State Barricading, Inc- <br />WBE Firm Shoshone Trucking, LLC <br />Owner or Contact at WBE Firm Ted Peters <br />Telephone: 765-689-8900 <br />SOLICITED FOR THIS PROJECT: <br />Fax: 765-689-8903 tpeters@shoshonetrucking.com <br />Email: TYPE OF WORK <br />RESULTS OF CONTACT WITH THE WBE FIRM: If we're awarded the Proiect, we'll enter into a <br />Hauling Agreement with Shoshone Trucking, LLC. <br />Version Contractor's Bid for Public Works - <br />