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Z. <br />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 QF <br />Project Number: 123-014 WBE Participation Goal 4.65% <br />Project Name: Demolition of 1000 West Sample Street <br />Bidder: Green Demolition Contractors, Inc. <br />By: President <br />(Signature) (Title) <br />WBE Firm San Corporation _ <br />Owner or Contact at WBE Firm Sandra Smith <br />2-19-9094 <br />(Date) <br />Telephone: 219-299-6830 Fax: N/A Email: sandy rnsancorptrucking.com <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Trucking & Hauling _ <br />RESULTS OF CONTACT WITH THE WBE FIRM: <br />Agreed to Participate in Project <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 />