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N A -�ta-rm- 9`vNtt4cl ��upPL\4 1Ntr <br /> City of Decatur, Illinois RETURN WITH BID <br /> #1 Gary K. Anderson Plaza <br /> Decatur, IL 62523-1196 Minority Business Enterprise (MBE) <br /> Utilization Statement <br /> Date: Tune 20, 2024 Project Title: 2024 Trenchless Long Lining Repairs <br /> Total Contract Value: Project Number: 2024-28 <br /> rSection 1: Prime Contractor Information <br /> Prime Contractor: Insituform Technologies USA, LLC <br /> Address: 580 Goddard Avenue, Chesterfield MO 63005 <br /> ' Phone: 636-530-8000 <br /> ' Contact Person: Janet Hass, Contracting&Attesting Officer <br /> Email: jhass@azuria.com <br /> ' Section II: Selected Subcontractors <br /> Subcontractor Name MBE BE Contract Amount or %of Total <br /> Non-MBScope of Work <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 TotalContract Scope of Work <br /> ' Totals <br /> + If more firms were contacted,please copy this form and attach the additional information. <br /> t <br /> 23 <br />