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1��IIIII��IIMIIr�III1��IIII��OI��O <br /> City of Decatur, Illinois RETURN WlTH BIQ <br /> #1 Gary K. Anderson Piaza <br /> �`�� Decatur, IL 62523-1196 Subcantractor Utilizatian 5tatemen# <br /> Date: �C�� ;�1 o`�O � Praject Titie: �t-t � '�^ �'0.tll� �kJ�.Q�t�K�""' <br /> Total Cantract Value: •��� �� Projec#Number: �� _ � � <br /> Section!: Prirr�e Contractor tnformation <br /> Prime Contractar: '"�.1t�����Q�,'�C'("QC..'�'�„ <br /> Address: I�'3�'�?a �C�" 1'o�,�-t,�r'�.�.., � <br /> :�.1.-.. ls�� <br /> I Phone: c��� �t� "" c�. � o��a <br /> Contact Person: �l `1 \ -` f S 1 C�+�� <br /> Email: ittitl � '�" <br /> Sectian!I: Selected Subcontractors <br /> Subcontractor Name �g�°r Amount °r°°#Tatai Scope of Work <br /> Nan-MBE Contract <br /> b � <br /> 1'otals <br /> • i€mare subcontracEors are utiiized,pfease copy this€arm arid attach the additionai information. <br /> Section Iii: MBE subcontractors that submitted bids but were not selected <br /> Subcontractor Name Scope of Wark Bid Reasan#or Denial <br /> � <br /> i9 <br />