R2015-45 ACCEPTING THE BID - STREETSCAPE FESTIVAL POWER WIRING

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City of Decatur, Illinois RETURN WITH BID #1 Gary K. Anderson Plaza Decatur, IL 62523-1196 Subcontractor Utilization Statement ' Date: I D I is Project Title: S�ree.+ S CCL e, VIE Sp i UO, 1 Pow-e V- UJI, h Project Number: ' Prime Contractor: Aoalh2 L le'CTf C C 0 De C1a+u r Address: I gLi5 N- aand S� ' IecoLlur, .r.c.. (@5a-'A Phone: (a r,) L oD U- L oD U O ' Contact Person: ILLCt n e TU r n e r Email: 84-urner@ 660 r\e_lrY a Cows Subcontractors: Subcontractor Name MBE or Amount %of Total Scope of Work ' Non-MBE Contract tt ' Totals • If more subcontractors are utilized, please copy this form and attach the additional information. ' The City of Decatur is committed to promoting minority participation in public works construction projects and in accordance with Article 28-10 of the City Code, has established the subcontractor utilization goal of 10%Minority Business Enterprises are to be used in the execution of this project. Prime Contractors have an obligation to make a good faith effort to advance the City's ' commitment to increase diversity among the firms working on City construction projects. This form must be completed and submitted with the bid proposal. All subcontractors intended for use on this project shall be listed in the columns above; along with the total amount to be paid to the subcontractors; percentage of total contract; and ' scope of work. If for whatever reason the Prime Contractor has to utilize a subcontractor not listed above,they must submit a Notification of Change in Participation with the necessary support documentation. The undersigned certifies that the information included herein is true and correct; the subcontractors listed above have agreed to ' perform the scope of work described. The undersigned further certifies that it has no controlling, dominating, or conflict of interest in any of the listed subcontractors. L/<(/� ' Signature of Prime ConI Date ' 19