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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM MBE-2.1 <br />MBE 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 MBEs. It is the bidder's sole responsibility to verify whether any listed <br />minority -owned business meets the MBE qualifications. Attach additional pages if necessary. <br />PAGE OF <br />Project Number: 123-014 MBE Participation Goal 1.39% <br />Project Name: Demolition of 1000 West Sample Street <br />Bidder: Green Demolition Contractors- Inc. <br />By: President 2-12-2024 <br />(Signature) (Title) (Date) <br />MBE Firm San Corporation <br />Owner or Contact at MBE Firm Sandra Smith <br />Telephone: 219_299-6830 Fax: NSA Email: sandy0sancorptrucking.com <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />Trucking & Hauling <br />)F CONTACT WITH THE MBE FIRM: <br />Agreed to Participate in project <br />MBE Firm <br />Owner or Contact at MBE Firm <br />Telephone: Fax: Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT <br />RESULTS OF CONTACT WITH THE MBE FIRM: <br />Version 07/19/2023 Contractor's Bid for Public Works -14 <br />