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. <br /> City of Decatur, Illinois RETURN WITH BID WHEN REQUIRED <br /> #1 Gary K. Anderson Plaza <br /> �'�' Decatur, iL 62523-1196 <br /> Minority Business Enterprise <br /> Participation Waiver Request <br /> Date: Project Title: <br /> Project Number: <br /> Prime Contractor: <br /> Address: <br /> Phone: <br /> Contact Person: <br /> Email: <br /> We hereby request that the City waive the Minority Business Enterprise(MBE) 14°/a participation goal on the above <br /> named project for the following reason{s}and affirm that the stated reasons and documents provided are true and <br /> correct and not misleading. We further agree this waiver request does not waive the goal that 18%of the total hours <br /> worked shoutd be perFormed by minority workers as per City Code Chapter 28,Article 10. <br /> CHECK ALL THAT APPLY. SPECIFIC SUPRORTlNG D(3CUMENTATION MUS7 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 doltar amount for each item) <br /> ❑ No subcontracting opportunities exist. (Attach explanation) <br /> ❑ The award of subcontract(s) is impracticable. (Attach exp{anation) <br /> ❑ Other—(State reason and attach explanation} <br /> Signature of Prime Contractor Date <br /> FOR OFFICIAL USE ONLY <br /> ❑ APPROVED ❑ DISAPPROVED <br /> The minorit artici atian oals are waived on this ro'ect for the fotlowin reason s see Article 28-10-7 Cit 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 witl self perform aU wark and will�ot subcontract any portion of the project. <br /> ❑ The contractor proposes to meet City MBE goat. No Waiver Required <br /> REVIEWED BY: <br /> Public Wortcs Qi�ector Date <br /> -22- <br />