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CITY OF SOUTH BEND <br />.\yLX1nf9\\ <br />�Vl <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />= l<l <br />FORM MBE-2.1�s�' <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 OF <br />Project Number: 123-054 WBE Participation Goal 4.5% <br />Project Name: <br />Bidder: <br />By: <br />(Signature) <br />Liberty Tower TIF Project — Parking Garage <br />SlajAe ROfing and SIieet Metal Co., Inc. <br />WBE Firm JMH Roofing Company <br />e-President <br />(Title) <br />Owner or Contact at WBE Firm Jerilyn Huntington <br />09/26/23 <br />(Date) <br />Telephone: 317-605-2789 Fax: Email: jmh@jmhroofingcompany.com <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Supply masonry materials. <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 />Will be supplying massonry materials. <br />RESULTS OF CONTACT WITH THE WBE FIRM: <br />Version 09/29/2021 Contractor's Bid for Public Work - 16 <br />