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Exhibit G <br /> The corporate officers are as follows: <br /> President: Sue Massie <br /> Vice President: <br /> Secretary: Sue Massie <br /> C. PARTNERSHIl'OR LLC <br /> The partners ar members are as follows: (Attach additional sheets if necessary} <br /> Sue Massie 1401 Chatham Road. Springfield,IL 62704.217-544-3210 <br /> Name Home Address&Telephone <br /> Neil F.Brumleve 1211 Sarato a Chase,Sherman,IL 62684,217-821-4032 <br /> Na�ne Home Address&Telephone <br /> Name Home Address&Telephone <br /> T'he business address is 1210 South Fifth St., Springfield,IL 62703 <br /> Telephone: 217-544-3214 Fax: zaone <br /> D. INDNIDU.AL PROPRIETORSHIP <br /> The business address is <br /> Telephone: �'x�; <br /> My home address is <br /> Telephone: Fax: <br /> S�CTION IT. N'ON-COLLUSION STATEMENT �so�.cs�as�;6s rc,cs sr�.i-ss-io� <br /> A. Tlus bid is made without any connection or common interest in the pzofits with any other . <br /> persan other than the Consulting Engineer except as listed on a separate attached sheet ta <br /> this affidavit. <br /> Check�ne: <br /> Others Interested in Contr�ct X None <br /> B. No depaxtment directar or any employ�e or auy officer of the City of Decatur has any financial <br /> interest,directly or iza�zrectiy,in the at;�ard of this contract except as listed on a separate attaehed <br /> sheet to this affidavit. <br /> G-2 <br />