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4x TN <br />+: l <br />CITY OF SOUTH BEND r�� <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN F <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__2_OF 2 <br />Project Number: 123-014R WBE Participation Goal 4.65% <br />Project Name: Demolition of 1000 West Sample Street <br />Bidder: Green Demolition Contractors Inc. <br />By: President 3/25/2024 <br />(Signature) (Title) (Date) <br />WBE Firm San Corporation <br />Owner or Contact at WBE Firm <br />Telephone: 219-299-6630 <br />Sandra Smith <br />Fax: N/A Email: sand sancor truckin .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 />ffi *8rmi, <br />Owner or Contact at WBE Firm <br />Telephone: <br />Fax: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE WBE FIRM: <br />Email: <br />Version 07/19/2023 Contractor's Bid for Public Works -15 <br />