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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: Rib 9061oa Project Title: Xa1 1.0 (atp,4{,,, C k%31v Q3� Lk—"O'A <br /> Project Number: •# go-011 ~ R0 <br /> Prime Contractor: C1� Gam. Cb t1G <br />' 1�►3�a n C <br /> Address: E' -A <br /> Phone: 33aa <br /> Contact Person: L-- <br /> ' Email: 1�•;Nl��r (� c-00- b \k " c .ne,� <br /> We hereby request that the City wai4b the Minority 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 /> `1 a8�aoaa <br /> Signature <br /> —Prime Contractor Date <br /> FOR OFFICIAL USE ONLY <br /> ❑ APPROVED ❑ DISAPPROVED <br /> ' The minority participation goals are waived on this project 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 /> El Evidence of a good faith effort by the contractor. <br /> 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 /> tPublic Works Director Date <br /> ' 21 <br />