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t <br /> City of Decatur, illinois RETURN WITH BID <br /> �.,�� #1 Gary K. Anderson Plaza <br /> Decatur, IL 82523-1196 Subcontractor Utiliza#ion Statement <br /> Date: Project Title: <br /> Tafal Con#racf Value: Project Number: <br /> Section I: Prime Contractor infarmation <br /> Prime Cantractor: <br /> Address: <br /> Phone: <br /> Contact Person: <br /> Emait: <br /> Section il: Selected 5ubcantractars <br /> Subcon#ractor Name �g�°C Amaunt �f°°��°��E Scope of Work <br /> Non-MBE Contract <br /> Tntals <br /> • If more subcontractors are utilized,piease copy this farm and attach the additional information. <br /> Section 111: MBE suf�canfiractars that submitted bids buf were not setecfed <br /> SubcoMractor Name Scope of Work Bid Reason far Den€ai <br /> -20- <br />