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CITY OF SOUTH BEND n <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM MBE-2.1 r <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 <br />listed woman -owned business meets the WBE qualifications. Attach additional pages if necessary. <br />PAGE OF <br />Project Number: 123-076 WBE Participation Goal 4.7% <br />Demolition of the South Bend Medical Foundation, 531 N. Main Street, South <br />Project Name: Bend, IN <br />Bidder: Green Demolition Contractors Inc. <br />By. President May 28, 2024 <br />(Signat (Title) (Date) <br />WBE Firm San Corporation <br />Owner or Contact at WBE Firm Sandra Smith <br />Telephone: (219) 299-6830 Fax: Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Trucking and Hauling <br />RESULTS OF CONTACT WITH THE WBE FIRM: <br />Agree to Participate in the 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 - 17 <br />