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� 4SOUTH 8�,�0 <br />CITY OF SOUTH BEND d <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN ? < az <br />FORM WBE-2.1 186.5 <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 />minority or woman business meets the WBE qualifications. Attach additional pages if necessary. <br />PAGE 1 OF 1 <br />Project Number: 125-042 WBE Participation Goal N/A <br />Project Name: 2025 Microsurfacing Quote <br />Bidder: National Pavement Maintenance <br />By. qa-4- ,ram Owner/Member 7-21-2025 <br />(S natur (Title) (Date) <br />WBE Firm State Barricading Company <br />Owner or Contact at WBE Firm James Micalski <br />Telephone: 524-287-2078 Fax: Email: jamesmicalski@gmail.com <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Signs and Barricades rental <br />RESULTS OF CONTACT WITH THE WBE FIRM: <br />Will be renting signs and barricades from this firm <br />WBE Firm Jewell Contracting <br />Owner or Contact at WBE Firm Perri Mason <br />Telephone: 524-400-9194 Fax: Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Sign and Barricade Set up and Placement <br />RESULTS OF CONTACT WITH THE WBE FIRM: <br />Firm is unable to provide services for this project <br />Version 1/3/2025 Page - 28 Public Works Quote <br />