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,,TC"?`, City of Decatur, Illinois <br /> IP' #1 Gary K. Anderson Plaza RETURN WITH BID FOR EACH <br /> <<.y Decatur, IL 62523-1196 MBE SUBCONTRACTOR <br /> MBE Subcontractor Information Form <br /> Date: 3/25/2026 Project Title: Galvanized Water Service Line Replacement <br /> Total Contract Value: Project Number: I 2025-20 <br /> Section I: MBE Subcontractor information <br /> Subcontractor: Marenco Enterprises <br /> Address: 3490 Leghorn Rd. <br /> Clinton, IL 61727 <br /> Phone: (217) 693-2484 <br /> Contact Person: Mirna Willoughby <br /> Email: mirna.marenco.ent@gmail.com <br /> Section II: Estimated Work <br /> Description of Scope of Work Agreed Upon Estimated Amount Estimated %of <br /> Total Contract <br /> 6e6bI X/ fxu ja.-riofJ , 'reoc..41►xn <br /> 5 <br /> a-reetac_ Sv0P1 / 1 �o <br /> This form must be completed and submitted with the bid Aroposal for each MBE Subcontractor. All Subcontractors <br /> intended for use on this project shall have an MBE Subcontractor Information Form signed by the prime contractor and <br /> subcontractor. If for whatever reason the Prime Contractor changes or adds a Subcontractor, a Notification of Change in <br /> Participation Form gnd MBE Subcontractor Information Form with the necessary support documentation must be submitted <br /> and approved. <br /> The undersigned certifies that the information included herein is true and correct and the subcontractor has agreed to perform <br /> the scope of work described. The undersigned further certifies that this form is not a Contract between the City, Prime <br /> Contractor or Subntractor. <br /> irime Cont for ature Print <br /> Jared Burdick <br /> Title Date <br /> - I <br /> Project Manager 3/25/2026 <br /> Subcontractor Signatt e Print <br /> • Mirna Willoughby <br /> Title Date <br /> President 3/25/2026 <br /> 24 <br />