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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM MBE-2.1 <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: 121-006B WBE Participation Goal 4.8% <br />Project Name: SOUTH BEND 2021 DRAINGE IMPROVEMENTS — BID B DIVISION 11 CHAPIN <br />Bidder: HRP tz ruction Inc. <br />Matthew D. Cain, President �M., <br />By: <br />(Signature) (Title) (Date) <br />WBE Firm SEE ATTACHED <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 />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 09/2912021 Contractor's Bid for Public Works - 25 <br />