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CITY OF SOUTH BEND Y <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN PR;(i �y• <br />FORM MBE-2.1 F ��5.__-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 OF <br />Project Number. 123-014 WBE Participation Goal 4.65% <br />Project Name: Demolition of 1000 West Sample Street <br />Bidder: C Le ction Services, Inc. <br />By: President February 12, 2024 <br />(Signatur (Title) (Date) <br />WBE Firm <br />Owner or Contact at WBE Finn <br />Telephone: Fax: Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />C. Lee Construction is MBE/DBE certified (certificates attached). C. Lee will erform Sl % of <br />the work. <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 07/19/2023 Contractor's Bid for Public Works - 15 <br />