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W <br />CITY OF SOUTH BEND 1 <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM MBE-2.1 r <br />MBE CONTACTED h <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: 122-049 WBE Participation Goal 5.64% <br />Project Name: Cleveland Road and Ameritech Drive Intersection Improvements <br />Bidder: Selge Construction Co., Inc. <br />By: <br />WBE Firm <br />Owner or Contact at WBE Firm <br />Butler, Vice President <br />(Title) <br />Telephone: Fax: Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />**Please see attached list of the South Bend Certified Directory <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 09/29/2021 Contractor's Bid for Public Works -16 <br />8.22.23 <br />(Date) <br />