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Exhibit G <br /> The corporate officers are as follows: <br /> President: Matthew S. Richards <br /> Vice President:Jeffrey L. Kronser <br /> Secretary: Joseph M. Bunker <br /> C. PARTNERSHIP OR LLC <br /> The partners or members are as follows: (Attach additional sheets if necessary) <br /> Name Home Address & Telephone <br /> Name Home Address & Telephone <br /> Name Home Address & Telephone <br /> The business address is <br /> Telephone: Fax: <br /> D. INDIVIDUAL PROPRIETORSHIP <br /> The business address is <br /> Telephone: Fax: <br /> My home address is <br /> Telephone: Fax: <br /> SECTION II. NON-COLLUSION STATEMENT (50 ILCS 105/3;65 ILCS 5/3.1-55-10) <br /> A. This bid is made without any connection or common interest in the profits with any other <br /> person other than the Consulting Engineer except as listed on a separate attached sheet to <br /> this affidavit. <br /> Check One: <br /> Others Interested in this Agreement X None <br /> B. No department director or any employee or any officer of the City of Decatur has any financial <br /> interest, directly or indirectly, in the award of this Agreement except as listed on a separate <br /> attached sheet to this affidavit. <br /> C. That the Consulting Engineer is not barred from bidding on any contract as a result of violation of <br /> 720 ILCS 5/33E-3 and 5/33E-4 (Bid Rigging or Bid Rotating). <br /> G-2 <br />