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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM WBE-2.1 <br />WBE CONTACTED <br />Version 03/15/2023 Page - 33 Public Works Quote <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 <br />listed minority or woman business meets the WBE qualifications. Attach additional pages if necessary. <br />PAGE_______OF________ <br />Project Number: 122-064 WBE Participation Goal 5.31% <br />Project Name: Central Services Parking Lot Repairs <br />Bidder: <br />By: <br /> (Signature) (Title) (Date) <br /> <br /> <br />WBE Firm <br />Owner or Contact at WBE Firm <br />Telephone: Fax: Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br /> <br /> <br /> <br /> <br />RESULTS OF CONTACT WITH THE WBE FIRM: <br /> <br /> <br /> <br /> <br /> <br /> <br />WBE Firm <br />Owner or Contact at WBE Firm <br />Telephone: Fax: Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br /> <br /> <br /> <br /> <br />RESULTS OF CONTACT WITH THE WBE FIRM: <br /> <br /> <br /> <br />