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,� City ofi Decatur, t�linois RETURN WITH BID WHEN <br /> ��f #1 Gary K. Anderson Plaza <br /> Decatur, IL 62523-1196 REQ,UII2ED � <br /> � Minori�y Business Enterprise <br /> Participation Waiver Request <br /> Dafe: � o'� �y�{� Project Title: a''�t q,,,�,,1�-X✓'F �CO�2� <br /> � Praject Number: �}� .. �'� <br /> Prime Cantractar: � <br /> Address: `"� � f� <br /> 'Rc��rn ancl . � t� cn��t�U <br /> .� r <br /> F�an�: �a i�`�, a�y- �� �a <br /> Contact Person: ���i� G�X�'1 �...,. F..,..5,,(�, <br /> Email: � ��� � ' <br /> We hereby request to waive a!!af the irtority Business Enterprise(MB�}participatian goats on the above named <br /> prajec#for#he fotlowing reason{s). 'The firm further affirms that the stated reasons and docum�nts provided are true <br /> and correct and not misfeading. <br /> CFiECK A�L TNAT APPL.Y. SPEGIFIC SUPPORTING DOCUMENTATlON MUST BE SUBMITTED AS tND{CATED. <br /> � An insu�cient number af MBEs responded fo our invitation#o bid. (Attach a list of MBEs contacted for each work <br /> item to be subcontrac#ed aiong with the doAar amaunt far each item) <br /> No subcontracting apportunities exist. (Attach explanation) <br /> ❑ The award of subcor►tractts}s's impracticabfe. {Attach explanation} <br /> ���G°c.�'-.�""z- � �� <br /> GL <br /> Signature of Ptime Gontractor Date <br /> �OR aFFIC1AL U$E ONl.Y <br /> ❑ APPRQVED ❑ DlSAPPROVED <br /> The minorit artici ation oais are waived an this ra'�ct for the foMtowin reasan s see Article 28-10-7 Cit Code : <br /> ❑ The projec#is essential#or City operatians. <br /> ❑ Emergency circumstances require a waiver. <br /> ❑ Evidence of a ood fai#h effa�t b the contractor. <br /> � Evidence the cantractor received no prapasals or ir�quiries from quaiified MSE or fsrms that employ minori#y workers <br /> in response to a good fai#h effort ta secure participation. <br /> REVIEWED BY: <br /> Pubisc Worlts Director Date <br /> ` 21 <br />