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olop°�i� City of Decatur, Illinois RETURN WITH BID WHEN REQUIRED <br /> #1 Gary K. Anderson Plaza <br /> .kilrrosY, Decatur, IL 62523-1196 <br /> Minority Business Enterprise (MBE) <br /> Participation Waiver Request <br /> Date: 7 Project Title: -� <br /> �� i ��- =-- j � �-r������ �,,,c)OW i 76 Oal tor( 6 F. <br /> Project Number: l "2_0 25 j I <br /> n <br /> Prime Contractor: r l ')L`( tLL 7`•)C0( ( �L� ` i 11 f ��), -10( <br /> L <br /> Address: L\ (, <br /> ? N <br /> I,U\( r�G tC�1 , " 1- j q 31 <br /> Phone: 211- W'- Ck_ )f) <br /> Contact Person: '4(J Ca HiCkAirb <br /> Email: 'tiici c-ra tOz 2 Q-)ces CONI <br /> We hereby request that the City waive the Minority Business Enterprise(MBE)10%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 /> CHECK 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 /> ❑ 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 /> ❑ Other—(State reason and attach explanation) <br /> IX I meet or exceed the 10%goal for the use of MBEs(detail is provided on the MBE Utilization Statement) <br /> ,//') )) <br /> 1(1 <br /> Signature of Prime Contractor ✓ Date <br /> FOR OFFICIAL USE ONLY <br /> Li APPROVED ❑ DISAPPROVED <br /> The minority participation goals are waived on this project for the following reason(s)(see Article 28-10-7 City Code): <br /> ❑ The project is essential for City operations. <br /> ❑ Emergency circumstances require a waiver. <br /> j ❑ 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 /> Public Works Director Date <br /> Rev 08/2020 <br />