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DBE FORM 1: DISADVANTAGED BUSINESS ENTERPRISE(DBE)UTILIZATION <br /> The undersigned bidder/offeror has satisfied the requirements of the bid specification in the following manner <br /> (please check the appropriate space): <br /> _The bidder is a registered DBE and is identified as a certified DBE in the Illinois UCP <br /> (100%of this project performed by bidder and funded by the City of Decatur FTA 5307 grant funds shall <br /> be assigned to the City of Decatur DBE goal). If identified as a DBE in another program,please identify <br /> here: <br /> For Contracts for which a DBE participation goal has been set(check applicable): <br /> Please check the appropriate category(only one)for small business participation in this proposal: <br /> _The bidder is performing all activities identified in the scope of work in-house and IS NOT identified <br /> as DBE in any program. <br /> _The bidder is performing all activities identified in the scope of work in-house IS identified as a DBE <br /> (provide a copy of the certification for each DBE) <br /> _The bidder is subcontracting some activities and there is a_%small business utilization on this <br /> bid/proposal(provide a copy of the Uniform Certification Application for each DBE). <br /> X The bidder is subcontracting some activities,however,there is no small business utilization on this <br /> bid/proposal. <br /> For Contracts for which there is no subcontracting opportunities: <br /> _The bidder performing all activities identified in the scope of work in-house and therefore is not <br /> subject to DBE subcontractor goals. <br /> For Contracts where a DBE subcontracting goal is required: <br /> _The bidder is committed to a minimum of_%DBE utilization on this contract(if contractor is a <br /> registered DBE,their work performed can be considered as part of the DBE goal). <br /> X The bidder(if unable to meet the DBE goal of 10%)is committed to a minimum of 0%utilization on <br /> this contract shall submit documentation demonstrating good faith efforts in seeking SBE participation. <br /> Name of bidder's firm: E.L. Pruitt Co. <br /> UEI No. Ggg /cFW_ . MGcc? <br /> By: fr%�, a/lr�tf✓ Title: �5tt,iYlo/�1'r®►tLt/'/QIlP! <br /> (Signature) <br /> 1IPage <br />