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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__J_OF 1 <br />Project Number: 117-059A MBE Participation Goal 1.18% <br />South Well Field, Water Treatment Plant, and Distribution System Improvements <br />Project Name: Contract A — Well Field and Water Treatment Plant Improvements (Bid Package 2 <br />Bidder: Selge Construction Co., Inc. <br />By: Robert P. Kuhns, PE, VP Estimating Aril 22, 2025 <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 -15 <br />