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CITY OF SOUTH BENDy,aw�ra��u <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY <br />DEVELOPMENT PROGRAM'; <br />FORM MWBE-2.1 <br />MBE/WBE CONTACTED <br />This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects <br />requiring contacted MBE/WBE to obtain Good Faith Efforts. It is the bidder's sole responsibility to verify <br />whether any listed minority or woman business meets the qualifications of a Minority or Women's owned <br />business. <br />Project Number: <br />117-108 <br />PAGE 1 OF <br />MBE/WBE Participation Goal w C <br />Project Name: Airport Annexation Area Sanitary Sewer Extension <br />Bidder: Selge Construction Co., Inc.. <br />B (Signature) va � �rf- �'r,aln� (Date) <br />MBEMBE Firm State Barricading, Inc. <br />Owner or Contact at MBE/WBE Firm James Michalski <br />Telephone: 574-287-2078 Fax: 574-287-1744 Email: statebarricadel@aol.com <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE MBE/WBE FIRM: <br />Accepted _q.Q.................. _ ..... <br />MBE/wBE Firm Slusser's Green Thumb <br />Owner or Contact at MBE/WBE Firm John Willi s n <br />Telephone:574-722-3102 Fax: 574-722-2993 Email: jdw@slussers.com <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Erosion Control• _• r • - • • <br />RESULTS OF CONTACT WITH THE MBE/WBE FIRM: <br />n Accepted ote <br />Version 7/20/2018 Contractor's Bid for Public Works- 11 <br />