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� City of Decatur, Illinois RETURN WITH BID WHEN <br /> - #1 Gary K. Anderson Plaza <br /> Decatur, IL 62523-1196 REQUIRED <br /> Minority Business Enterprise <br /> Participation Waiver Request <br /> Date: ��une2015 Project Title: 2015 Annual Water Main Replacement Project Re-Bi <br /> Project Number: CitV Pro'ect 2016-10 <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: jeff l,11.rdi c l,mb li Eek <br /> We hereby request to waive all of the Minority Business Enterprise (MBE) participation goals on the above named <br /> project for the following reason(s). The firm further affirms that the stated reasons and documents provided are true <br /> and correct and not misleading. <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. (Attach a list of MBEs contacted for each work <br /> item to be subcontracted along with the dollar amount for each item) <br /> ❑ No subcontracting opportunities exist. (Attach explanation) <br /> ❑ The award of subcontract(s) is impracticable. (Attach explanation) <br /> _ June 16, 2015 <br /> e Contractor Date <br /> Jeffrey S. Burdick <br /> ick Plumbing & Heating CO., APR0FFICIAL USE ONLY <br /> ❑ 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 /> ❑ Evidence of a good faith effort by the contractor. <br /> ❑ Evidence the contractor received no proposals or inquiries from qualified MBE or firms that employ minority workers <br /> in response to a good faith effort to secure participation. <br /> REVIE BY: <br /> 4 Z'M""� 6 - I b-.1 <br /> lic Works Directo Date <br /> 23 <br />