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oviDE <br /> c'� City of Decatur, Illinois RETURN WITH BID <br /> #1 Gary K. Anderson Plaza <br /> •4ziNos..' Decatur, IL 62523-1196 <br /> Minority Business Enterprise (MBE) <br /> Utilization Statement <br /> Date: I. . 2 D Project Title: -E41,11((I, UpVq c i t=�J./rcrt Ccna Sf <br /> Total Contract Value: ' /CI ', 5v1. 00 Project Number: 4:A) 2. 25_ I <br /> Section I: Prime Contractor Information C 't l h E <br /> Prime Contractor: ek Feet+rt(. c ` 3OUJ-h on S ( F <br /> Address: <br /> 104 CR 2500 N <br /> LOV i n c�tt�Yl r Tt_ U1161 6-1 <br /> Phone: 211—(p1-}Gt-3oo5 <br /> Contact Person: <br /> Email: SI-0G WaY a 010.4 e5 l✓1 C tan <br /> Section II: Selected Subcontractors <br /> Subcontractor Name MBE or Amount %of Total Scope of Work <br /> Non-MBE Contract <br /> \-O In(>0A L( a\�; i No.f1l.* 2(I1 61/ tC 2O(. Preer_k Coo ilis1 iI fire Y1 <br /> Totals 26 5`II 2C /. <br /> • If more subcontractors are utilized,please copy this form and attach the additional information. <br /> Section III: Purchase of Goods,Materials,or Equipment <br /> Minority Business Enterprise Name Amount %of Total Scope of Work <br /> Contract <br /> Dun Vi ' ElParic Supp 131c00 Q. `l. UMW 606d&c trr , �rairndinj nth/lids. <br /> KAMAt �(A? rt��0 1 .5 %• PPS Con5trenal005, Wall -11615 <br /> Totals I(J, CC( IC <br /> • If more firms were contacted,please copy this form and attach the additional information. <br /> Rev 08/2020 <br />