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R <br /> �� City of Decatur, Illinois RETURN WITH <br /> #1 Gary K. Anderson Plaza <br /> . Decatur, IL 62523-1196 BID <br /> i <br /> Subcontractor Utilization Statement <br /> Date: June 16, 2015 Project Title: 2015 Misc. Sanitary & Storm Sewer Improvement <br /> rod ec e– i <br /> Project Number: City Project 2015-09 <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: _Tared Burdick <br /> Email: t,,,rdick l�.,nh <br /> —�a�@ ��"in <br /> g com <br /> Subcontractors: <br /> Subcontractor Name MBE or Amount % of Total Scope of Work <br /> Non-MBE Contract <br /> 3Z +/– Seeding/Sod <br /> the intent to give MBE <br /> 7Z +/– Concrete - <br /> --- -----unitv Unknown Material Suppliers <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 will <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 sha <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 <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 Co., Inc. June 16 2015 <br /> Signature of Prime Contractor J urdick Date <br /> 21 <br />