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- City of Decatur, Illinois RETURN WITH BID WHEN REQUIRED <br /> #1 Gary K. Anderson Plaza <br /> ' Decatur, IL 62523-1196 <br /> Minority Business Enterprise (MBE) <br /> Participation Waiver Request <br /> 1 Date: "� Project Title: 7;� 1C s y `.. ? <br /> -� l _' �. f. � r 1 ,01 <br /> Project Number: 0 Z Z. Ci <br /> Prime Contractor: ? X '�'f1��' ' � f t� <br /> ' <br /> Address: +i <br /> Phone: ,�� —�tc `1G `"? <br /> Contact Person: f„ <br /> Email: J <br /> We hereby request that the City waive the Wnority Business 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 /> 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 /> 2_ <br /> 9 <br /> lure of Prime Contractor Date <br /> FOR OFFICIAL USE ONLY <br /> ❑ APPROVED I ❑ DISAPPROVED <br /> The minority participation goals are waived on this project for the following reason(s) see Article 28-10-7 City Code): <br /> ❑ The project is essential for City operations. <br /> ❑ mergency circumstances require a waiver. <br /> Evidence of a good faith effort by the contractor. <br /> 1 The contractor will self-perform all work and will not subcontract any portion of the prowect. <br /> ❑ The contractor proposes to meet City MBE goal. No Waiver Required <br /> REVIEWED BY: <br /> Public Vffts Director Date <br /> ' 24 <br />