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r ,i„ City of De�atur, Illinais RETURN WITH <br /> � #1 Gary K. Anderson Plaza <br /> Decatur, IL fi2523-�19� BII) <br /> , <br /> �ubcontractor Utilizatinn Statement <br /> �ate: 7�y � r� Project Titie: �.�j 9 ,✓�,+o�� j�r/�,�,olj���7"��0 <br /> TataE Contract VaEue: Project Number: �J�r <br /> 8ection i: Prime Corrtractar Infarmation <br /> � ,� <br /> Prime Cantractar: �'` O� ��j,ie� Y)JiZ-+��� �t/!,/�� x � <br /> � � r <br /> , Address: <br /> G � �. rC? <br /> � Phane: � �-�" "'� o� ' • > ..� <br /> Confiact Person: �L � N <br /> � Email: ''� IG/i�'l1,� �,d►�v°C" �/ �•oit/;���+r'�f�►L � '� <br /> Sectian 11. Sel+�cted Subcontrac#ors <br /> Subcontractor Name MBE ar Amount % o#Total Scope of Wark <br /> Non-MBE Contract <br /> Totals <br /> • If more subcontractors are utilized, piease copy this form and attach the additional informatian. <br /> 5ectian 111: MBE subcontractars that submitted bids but were not selected <br /> Subcontrac#or Name Scope of Work Bid Reason far Denial <br /> � 18 <br />