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City of Decatur, Illinois RETURN WITH <br /> #1 Gary K. Anderson Plaza <br /> Decatur, IL 62523-1196 BID <br /> Subcontractor Utilization Statement <br /> Date: - Project Title: <br /> Total Contract Value: Project Project Number: <br /> ' Section I: Prime Contractor Information <br /> Prime Contractor: -Q .-� ��-�C;. ✓� Cc -Tl C- <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 /> on-MBE Contract <br /> 6126ILL KO"8& AASMOC) 5,0S 016�OWC <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 /> No As, <br /> ' 21 <br />