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' Illinois (RETURN WITH BI® 11 WHEN REQUIRED <br /> cll:y of Decatur, <br /> 1 Gary K. Anderson Plaza -- — <br /> Decatur, IL 62523-1196 Minority Business Enterprise (MBE) <br /> Participation Waiver Request <br /> ' Date: Project Title: Old King's Orchard Garden <br /> ' Project Number: 2023-05 <br /> Prime Contractor: --� ✓► <br /> Address: <br /> Phone: — L <br /> 9 40 <br /> 'P—��l�—Q-41- <br /> Contact Person: -I <br /> ++ / � <br /> Email: '�--��eU� Al � C'' <br /> We hereby request that the City waive the Minority Business Enterprise(MBE) 109 °,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 /> tCHECK 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 /> r [� 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 /> R 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 /> 'e <br /> ' Signature of Pri ontractor Date <br /> FOR OFFICIAL USE ONLY <br /> ❑ APPROVED ❑ DISAPPROVED <br /> The mi ority 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 /> ❑ <br /> Emergency circumstances require.a waiver. <br /> 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 /> Publi orks airector Date <br /> 23 <br /> a <br />