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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM MBE-2.1 <br />BE 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 1 <br />Project Number: 122-049 <br />Project Name: <br />Bidder: <br />By: , zQ z <br />WBE Participation Goal <br />5.64% <br />Cleveland <br />Road and <br />Ameritech <br />Drive Intersection Improvements <br />Premium <br />Concrete <br />Services <br />Inc. <br />(Title) <br />WBE Firm State Barricading <br />Owner or Contact at WBE Firm James Michalski <br />Telephone: (574) 287-2078 Fax: (574) 287-1744 Email: statebarricadel@aol.com <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Maintenance of Traffic and Temp Striping <br />RESULTS OF CONTACT WITH THE WBE FIRM: <br />Quote received and will use if awarded <br />WBE Firm Hawk Enterprises Inc. <br />Owner or Contact at WBE Firm Caylee Carlson <br />Telephone: (219) 662-8090 Fax: Email: Caylee@hawk-inc.com <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Traffic Signaling <br />RESULTS OF CONTACT WITH THE WBE FIRM: <br />Qoute received and will use if award <br />Version 09/29/2021 Contractor's Bid for Public Works - 16 <br />