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City of Decatur, Illinois RETURN WITH BID <br /> #1 Gary K. Anderson Plaza <br /> Decatur, IL 62523-1196 <br /> Minority Business Enterprise (MBE) <br /> Utilization Statement <br /> ' M Zo 2-1 L a4- iLt��,�- FaZ, - ASC <br /> Date: v G,t -7---zo 21 Project Title: &1 Lcza 6J- .T' <br /> Total Contract Value: 11.0SI 2.'? 1 Project Number: -Z <br /> Section I: Prime Contractor' Information Prime Contractor: t_39'" J j j F .- C• <br /> Address: <br /> 11 —CoPhone: 24-1 411'— <br /> Contact <br /> ntact Person: j;►�/J <br /> Email: <br /> Section II: Selected Subcontractors <br /> Subcontractor Name MBE BE Contract Amount or % of Total <br /> Non-MBScope of Work <br /> C46 L,u.A�t.l�j,04 SSD r q4 l .� $•� �� I.t-A1b ..�n 1J�1�"ITCS <br /> .WdflA1: Turkgc D•q(e, 71e-uu���6 <br /> 3 <br /> Totals ��Ef,�9�•�ife �. 3 <br /> • If more subcontractors are utilized, please copy this form and attach the additional information. <br /> Section III: Purchase of Goods, Materials, or E ui ment <br /> Minority Business Enterprise Name Amount % of Total Scope of Work <br /> Contract <br /> Totals <br /> • If more firms were contacted, please copy this form and attach the additional information. <br /> Section IV: MBE subcontractors that submitted bids but were not selected <br /> 71 <br />