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~ City of Decatur, Illinois RETURN WITH BID <br />' f) #1 Gary K. Anderson Plaza <br /> Decatur, IL 62523-1196 Minority Business Enterprise (MBE) <br /> Utilization Statement <br /> Date: aQ aoo'�a Project Title: �U?� , ��pV�. Ctob WO UJB <br /> Total Contract Value: I 135 Oito.00 Project Number: ii ao-m ^ DCS <br />' Section I: Prime Contractor Information <br /> Prime Contractor: K� CUtI'FTGtC�U�S LnC <br />' Address: 0314,2 �c-o,I ao,IL• �C� <br /> Phone: 221 -33,29 <br /> Contact Person: 1Z%k\ o x,(\ L- KiNLAA <br /> ' Email: <br /> ' Section 11: Selected Subcontractors <br /> Subcontractor Name MBE BE Contrtractact Amount or % of Scope of Work <br /> Non-MB <br /> Noce '��1 l�,aoo a' S�% Q,Q'lco�xw uJc�.1v <br /> 1 <br /> Totals <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 /> ' (\lonlV <br /> Totals <br /> ' • If more firms were contacted,please copy this form and attach the additional information. <br /> 19 <br />