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' <br /> � City of Decatur, I1linois RETURN WITH BID WHEN <br />' #1 Gary K. Anderson Plaza <br /> Decatur, IL 62523-1196 REQUIR.ED <br /> ' Minority Business Enterprise <br /> Participation Waiver Request <br /> ' Date: June 5, 2019 Project Titie: 2019 Trenchless Long Lining Repairs <br /> Project Number: 2019-28 <br /> ' Prime Gontractor: Insituform Techrtologies USA, LLC <br /> 17988 Edison Avenue, Ghesterfield, MO 63005 <br /> ' Address: <br /> , Phane: 636-53Q-8000 <br /> Gontact Person: Janet Hass, Gontracting &Attesting Officer <br /> ' Ema;�: jhass@aegion.com <br /> We hereby request that the C'�ty waive the Minority Business Enterprise(MBE)participation goals on the above named <br /> , project for the fotlawing reason(sj. We further affirm that the s#ated reasons and documents provided are true and <br /> correct and not misleading. <br /> CHECK ALL 7HAT APPLY. SPECIFIC SUPPORTtNG DOCUMENTATION MUST BE SUBMITTED AS INDICATED. <br /> ' � An insufficient number af MBEs respanded to our invitatian to bid. (Attach a list of MBEs contaGted for each woric <br /> item to be subcontracted along with the dollar amount for each item) <br /> , ❑ No subcontracting opportunities exist. (Attach e�rplanation) <br /> ❑ T'he award of subcontract(s}is impracticable. (Attach exptanation) <br /> ' ❑ Other—(State reason and attach explanation) <br /> Ja et Hass, Contracting &Attesting Officer June 5, 2019 <br /> Signature of Prime Contractor Date <br /> FOR OFFiCIAL IISE ONLY <br /> , ❑ APPROVED ❑ DISAPPROVED <br /> 'the minori artici ation oals are waived on this ro ect for the followin reasan s see Article 28-18-7 Ci Code : <br /> ' ❑ The project is essential for City operations. <br /> ❑ Emergency circumstances require a waiver. <br /> ' ❑ Evidence of a good faith effork by the contractor. <br /> ❑ The cantractor witl self-perform atf work and will not subcontract any portion of the project. <br /> ' ❑ The contractor prcaposes to meet City MBE goal. Na Waiver Required <br /> REVIEWED BY: <br /> ' <br /> Pub6c Works Qirector Date <br /> ' 20 <br />