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City of Decatur, Illinois RETURN WITH BID WHEN REQUIRED <br /> #1 Gary K. Anderson Plaza <br /> Decatur, IL 62523-1196 Minority Business Enterprise (MBE) <br /> Participation Waiver Request <br /> Date: _Z Project Title: 202-1 S�n m i6 P(-61 eL <br /> Project Number: Z <br /> Prime Contractor: ,nV k-per <br /> Address: <br /> P_C � Z 2- <br /> Phone:Phone: <br /> Contact Person: y � <br /> Email: Kcc ellllt Vt� J 2(' c� �; � .CCSV4- 1 <br /> We hereby request that the City waive the Minority Business Enterpris MBE) 10% participation goal on the above <br /> named project for the following reason(s) and affirm that the stated rea ons and documents provided are true and <br /> correct and not misleading. We further agree this waiver request does not waive the goal that 18% of the total hours <br /> worked should be performed by minority workers as per City Code Chapter 28,Article 10. <br /> CHECK ALL THAT APPLY. SPECIFIC SUPPORTING DOCUMENTATION MUST BE SUBMITTED AS INDICATED. <br /> An insufficient number of MBEs responded to our invitation to bid on services or materials. (Attach a list of MBEs <br /> contacted for each work item to be subcontracted along with the dollar amount for each item) <br /> ❑ No subcontracting or purchase of goods, materials or equipment opportunities exist. (Attach explanation) <br /> ❑ The award of subcontract(s) or purchase of goods, materials or equipment is impracticable. (Attach explanation) <br /> ❑ Other—(State reason and attach explanation) <br /> I meet or exceed the 10% goal for the use of MBEs (detail is provided on the MBE Utilization Statement) <br /> ignatu of P ontractor Date <br /> FOR OFFICIAL USE ONLY <br /> APPROVED ❑ DISAPPROVED <br /> The minorit arti i ation goals are waived on this project for the following reasons see Article 28-10-7 City Code): <br /> ❑ I The project is essential for City operations. <br /> ❑ Emergency circumstances require a waiver. <br /> ❑ Evidence of a good faith effort by the contractor. <br /> ❑ The contractor will self-perform all work and will not subcontract anV portion of the project. <br /> The contractor proposes to meet City MBE goal. No Waiver Required <br /> EVIEWED BY: <br /> 2/ <br /> Public Works Director Date <br /> '7.Fi <br />