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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 3 OF 3 <br />Project Number: 122-034 WBE Participation Goal 4.5% <br />Project Name: Fire Station #8 Replacement <br />Bidder: Brown & Brown General Contractors, Inc. <br />By: ,—z f President July 25, 2023 <br />(Signature) (Title) (Date) <br />WBE Firm Bellsom Electric <br />Owner or Contact at WBE Firm Julia <br />Telephone: 219-554-1100 Fax: Email: julia@bellsom.com <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: Electrical <br />RESULTS OF CONTACT WITH THE WBE FIRM: No response <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 09/29/2021 Contractor's Bid for Public Works - 15 <br />