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1 <br /> ♦ City of Decatur, Illinois RETURN WITH BID <br /> #1 Gary K. Anderson Plaza <br /> Decatur, IL 62523-1196 Subcontractor Utilization Statement <br /> Date: Project Title: <br />' Total Contract Value: Project Number: <br /> Section I: Prime Contractor Information <br />' Prime Contractor: <br />' Address: <br />' Phone: <br /> Contact Person: <br /> Email: <br /> Section II: Selected Subcontractors <br />' Subcontractor Name MBE or Amount %of Total Scope of Work <br /> Non-MBE Contract <br /> r <br /> r <br /> r <br /> Totals <br />' • If more subcontractors are utilized, please copy this form and attach the additional information. <br /> Section III: MBE subcontractors that submitted bids but were not selected <br /> Subcontractor Name Scope of Work Bid Reason for Denial <br /> 1 <br /> 1 <br /> Page 1 of 2 <br /> 1 <br />