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Sectiori Itl Continued: MBE subcontractors that submitted bids but were not selected <br /> Subcontractor Name Scope of Work Bid Reason for Denial <br /> • If more firms submitted quotes,please copy this form and attach the additionai information. <br /> Section IV: MBE subcontractors that were contacted for this ro'ect <br /> Subcontractar Name Method of Contact Contact Outcome <br /> • (f more firms were contacted,ptease copy this form and attach the additional information. <br /> Section V: <br /> The City of Decatur is committed to promoting minority participation in pubiic works construction projects and in accordance with <br /> Article 28-10 of the City Code,has established the subcontractor utilization goal of 10% Minority Business Enterprises that are to <br /> be used in the execution of this project. Prime Contractors have an obligation to make a good faith effort to advance the City's <br /> commitment to increase diversity among the flrms working on City construction projects. <br /> This form must be completed and submitted with the bid proposal. AII subcontractors intended for use on this project shail <br /> be listed in the cotumns above;along with the total amount to be paid to the subcontractors;percentage of total contract;and <br /> scope of work. If for whatever reason the Prime Contractor has to utilize a subcontractor not listed above,they must submit a <br /> Notification of Change in Participation with the necessary support documentation. <br /> The undersigned cerfifies that the information included herein is true and correct;the subcontractors listed above have agreed to <br /> perform the scope of work described. The undersigned further certifies that it has no controlling, dominating,or conflict of <br /> interest in any of the listed subcontractors. <br /> .i%"�J r _ ' �^ ! I �. `- _ <br /> � � ---�. -1' � �� <br /> Signature of Prime Contractor Date <br /> 19 <br />