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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: 20 2,1 (%)bb -P <br /> ��-- Project Number: 2, <br /> t'f (_Z <br /> Prime Contractor: '1 t1� EXr G ya*lirl C <br /> Address: ' � S <br /> DeCuJU,r .rL 2 SZ <br /> Phone: 2 -]-ta -f Las <br /> Contact Person: 'SIu a'&- Etr f`� /�� <br /> Email: ka r-eA e I-f'�P rex (r CfiYl f(.(/ Cir7(o <br /> We hereby request that the City waive the Minority Blisliness Enterprise(MBE) 10%participation goal on the above <br /> named project for the following reason(s)and affirm that the stated reasons 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 /> �9< I 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 /> ❑ 1 meet or exceed the 10%goal for the use of MBEs (detail is provided on the MBE Utilization Statement) <br /> gnat rime con Date <br /> FOR OFFICIAL USE ONLY <br /> ❑ APPROVED ❑ DISAPPROVED <br /> The m nority participation goals are waived on thisro ect for the following reasons see Article 28-10-7 City Code): <br /> ❑ The project is essential for City operations. <br /> ❑ Emergency circumstances require a waiver. <br /> Evidence of a good faith effort by the contractor. <br /> El The contractor will self-perform all work and will not subcontract any portion of the project. <br /> ❑ The contractor proposes to meet City MBE goal. No Waiver Required <br /> REVIEWED BY: <br /> Public Works Director Date <br /> 71; <br />