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City of Decatur, Illinois RETURN WITH <br /> #1 Gary K. Anderson Plaza <br /> • Decatur, IL 62523-1196 BID <br /> Subcontractor Utilization Statement <br /> Date: June 16, 2015 Project Title: 2015 Annual Water Main Replacement Project Re—Bi <br /> Project Number: City Project 2015-10 <br /> Prime Contractor: Burdick Plumbing & Heating Co., Inc. <br /> 1175 North 20th Street <br /> Address: <br /> Decatur, Illinois 62521 <br /> Phone: 217-429-2385 <br /> Contact Person: Jeff Burdick <br /> Email: -eff burdick lum in <br /> JON Subcontractors: <br /> Subcontractor Name MBE or Amount % of Total Scope of Work <br /> Non-MBE Contract <br /> Rainey NurserV Non41BE 16 000.00 1.5Z Seeding <br /> Otto Baum on—MBE 6,000.00 .5X concrete <br /> Totals <br /> • If more subcontractors are utilized, please copy this form and attach the additional information. <br /> The City of Decatur is committed to promoting minority participation in public works construction projects and in accordance witl <br /> Article 28-10 of the City Code, has established the subcontractor utilization goal of 10% Minority Business Enterprises are to be <br /> used in the execution of this project. Prime Contractors have an obligation to make a good faith effort to advance the City's <br /> commitment to increase diversity among the firms working on City construction projects. <br /> This form must be completed and submitted with the bid proposal All subcontractors intended for use on this project shal <br /> be listed in the columns above; along with the total amount to be paid to the subcontractors; percentage of total contract; and <br /> scope of work. If for whatever reason the Prime Contractor has to utilize a subcontractor not listed above, they must submit a <br /> Notification of Change in Participation with the necessary support documentation. <br /> The undersigned certifies that the information included herein is true and correct; the subcontractors listed above have agreed t <br /> perform the scope of work described. The undersigned further certifies that it has no controlling, dominating, or conflict of <br /> interest in any of the listed subcontractors. <br /> Burdick Plumbing & Heating June 16, 2015 <br /> Signature of Prime Cont r r S. Burdick Date <br /> 22 <br /> a <br />