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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM MBE-2.1 - y <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 />woman -owned business meets the WBE qualifications. Attach additional pages if necessary. <br />PAGE 1 OF <br />Project Number: 117-059A WBE Participation Goal 4.46% <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: <br />Jf Selge Construction Co., Inc. <br />By�P 9— Robert P. Kuhns PE VP Estimating <br />April 22, 2025 <br />(Signature) (Title) (Date) <br />WBE Firm <br />Owner or Contact at WBE 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 WBE FIRM: <br />WBE Firm <br />Owner or Contact at WBE Firm <br />Telephone: Fax: Email: <br />TYPE OF WORK SOLICITED FOR THIS PROJECT: <br />RESULTS OF CONTACT WITH THE WBE FIRM: <br />Version 09/29/2021 Contractor's Bid for Public Works -16 <br />