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� . City of Decatur, illinois RETURN WITH BID <br /> � #1 Gary K.Anderson Plaza <br /> Decatur, IL 62523-1196 Subcontractor Utilization Statement <br /> Date: - - t Project Title: � . -��� � � ����� lG�;�/l/(� � <br /> Total Contract Value: (� � g S � Project Numb r: _� l �G� ��Jecr <br /> Section I: Prime Contractor tnformation <br /> Prime Contractor. — c/� �-e-� (:`ILCC��(G-���^ � �� <br /> � L�� � ��_ <br /> Address: a. j <br /> � C.C�..��-� ��� 102�) � <br /> Phone: ��-1 -� ��- ���� <br /> Contact Person: ;,��-��'-- �� �V�h-��� <br /> Email: :P-v��-✓l-t��-e,��`t�- ✓►/lc��. � , C� <br /> Section 11: Selected Subcontractors <br /> Subcantractor Name MBE or Amount %of Totat Scope of Work <br /> Non-MBE Contract <br /> � � <br /> Totals <br /> • If more subcontractors are uGlized,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 Deniat <br /> 18 <br />