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CITY OF SOUTH BEND fir: <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />01 <br />r R <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 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: 121-070B MBE Participation Goal 5% <br />Project Name: Fellows Street Booster Station and Site Work <br />Bidder: Selge Construction Co., Inc. <br />gy ,� Robert Kuhns, Project Engineer April 9 2024 <br />(Signature) (Title) (Date) <br />MBE Firm <br />Owner or Contact at MBE Firm <br />Telephone: Fax: Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />"Please see attached list of the South Bend Certified Directory" <br />RESULTS OF CONTACT WITH THE MBE FIRM: <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 09/29/2021 Contractor's Bid for Public Works -12 <br />