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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM MWBE-2.1 <br />MWBE 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 MWSEs. It is the bidders sole responsibility to verify whether any listed <br />minority or woman business meets the MWBE qualifications. Attach additional pages if necessary. <br />PAGE d- OF Z <br />Project Number: 12M23 MWBE Participation Goal N/A <br />Project Name: 2023 Microsurfacing <br />Bidder: t4abofikL PAVE"kn T" (M06.If4+eA( <br />NCf. <br />By: i`�✓"`M a --I"- <br />W /r, 4z3 <br />(Sgns[ure) (Title) <br />(Dale) <br />(r <br />MWBE Firm Le A(Ck A. f414n (.[C <br />Owner or Contact at MWBE Firm LAt~UaL ((CWWt1 ,u <br />Telephone: _7JQ PIS I -S I LI5 Fax: Email: -2 <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />U-Eu r"AN ®S-wo t L c ifl-ate <br />d <br />TPUCKIyi W4U'fR4 <br />RESULTS OF CONTACT WITH THE MWBE FIRM:� <br />ro2yh ryvt5 6Y%T i'u Sf S� <br />rzufr USfO fN -f" �n44E�1 <br />1 <br />fGr it�tLea <br />-TA4e E(2 <br />rfc? �bk 5(i JSE -fL.iS p', 0. <br />MWBE Firm <br />Owner or Contact at MWBE Firm <br />Telephone: Fax: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Email: <br />RESULTS OF CONTACT WITH THE MWBE FIRM: <br />Version 2/14/2022 Page - 19 Public Works Quote <br />