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' Subcontractor Name Scope of Work Bid Reason for Denial <br /> • If more firms submitted quotes, please copy this form and attach the additional information. <br /> Section V: MBEs that were contacted for this project <br /> Subcontractor Name Method of Contact Contact Outcome <br /> t <br /> l 1 v i l/�� t��� y- 9 . Y! ' �./ r C✓..1�� �� �� � 4F .I VI.. a Ila <br /> I � <br /> J. <br /> Ova <br /> r✓��'7�/� �� / !� +.Y � , t� � }� �P i l/ ��` � "lam Kf ./ 4./�! �'" <br /> )Y} <br /> r • If more firms were contacted,please copy this form and attach the additional information. <br /> Section V: <br /> The City of Decatur is committed to promoting minority participation in public works construction projects and in accordance with <br /> Article 28-10 of the City Code, has established a subcontractor utilization and/or purchase of goods, materials or equipment goal <br /> of 10%for Minority Business Enterprises that are to be used in the execution of this project. Prime Contractors have an <br /> obligation to make a good faith effort to advance the City's commitment to increase diversity among the firms working on City <br /> construction projects. <br /> 1 This form must be completed and submitted with the bid proposal. All subcontractors and MBE's intended for use on this <br /> project shall be listed in the columns above; along with the total estimated amount to be paid; percentage of total contract; and <br /> scope of work. If for whatever reason the Prime Contractor utilizes an MBE not listed above, they must submit a Notification of <br /> Change in Participation with the necessary support documentation. <br /> The undersigned certifies that the information included herein is true and correct;the MBE's listed above have agreed to perform <br /> the scope of work described. The undersigned further certifies that it has no controlling, dominating, or conflict of interest in any <br /> of the listed subcontractors or MBEs. <br /> X XL -�- -- - <br /> - Signature Prime actor Date <br /> 23 <br />