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' RETURN WITH BID WHEN <br /> City of Decatur, Illinois <br /> #1 Gary K. Anderson Plaza REQUIRED <br /> Decatur, IL 62523-1196 <br /> Minority Business Enterprise <br /> Participation Waiver Request <br /> Date: (I Project Title: <br /> Project Number: --1 _aI <br /> Prime Contractor: I 0MG, /I(Cl <br /> Address: � E 6D <br /> Phone: 9J l <br /> Contact Person: i �,(�! m L Lt rgroe�-i <br /> Email I(�V1�le�Cc��Uc��rJt L� e�• �k <br /> We hereby request that the City waive the Minority Business Enterprise(MBE) participation goals on the above named <br /> project for the following reason(s). We further affirm that the stated reasons and documents provided are true and <br /> ' correct and not misleading. <br /> CHECK ALL THAT APPLY. SPECIFIC SUPPORTING DOCUMENTATION MUST BE SUBMITTED AS INDICATED. <br /> ' ❑ An insufficient number of MBEs responded to our invitation to bid. (Attach a list of MBEs contacted for each work <br /> item to be subcontracted along with the dollar amount for each item) <br /> No subcontracting opportunities exist. (Attach explanation) <br /> ❑ The award of subcontract(s) is impracticable. (Attach explanation) <br /> ❑ Other—(State reason and attach explanation) <br /> Signature of Prime Contractor Date <br /> FOR OFFICIAL USE ONLY <br /> ❑ APPROVED 17 ❑ DISAPPROVED <br /> The minority participation goals are waived on this project for the following reasons see Article 28-10-7 Ci!Y Code): <br /> ' ❑ The project is essential for City operations. <br /> ❑ Emergency circumstances require a waiver. <br /> ' ❑ Evidence of a good faith effort by the contractor. <br /> The contractor will self-perform all work and will not subcontract any portion of the project. <br /> ' ❑ The contractor proposes to meet City MBE goal. No waiver required. <br /> REVIEWED BY: <br /> (-71 0-- ri. z0lI <br /> Public Works Director Date <br /> U, <br /> 25 <br />