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City of Decatur, Illinois <br /> #1 Gary K. Anderson Plaza RETURN WITH BID WHEN <br /> Decatur, IL 62523-1196 REQUIRED <br /> Minority Business Enterprise <br /> Participation Waiver Request <br /> Date. June 16 2015 Project Title: 2015 Misc Sanitary & Storm Sewer improvement <br /> Project Number: <br /> Project Re—Bid <br /> City Project 2015-09 <br /> Prime Contractor: Burdick Plumbing & Heating Co., Inc. <br /> Address: <br /> 1175 North 20th Street <br /> Decatur- Illinois 62521 <br /> Phone: 217=429-2385 <br /> Contact Person: cared—Burdick <br /> Email: <br /> jared@burdickplumbing.com <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 /> Si ature of Prime Contractor Date <br /> Bu di c in & Heating Co., Inc Jeffrey S. Burdick <br /> FOR OFFICIAL 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 /> REVIEWED BY: <br /> Public Works Director Date <br /> 22 <br />