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1 . <br /> ' City of Decatur, Illinois RETURN WITH BID WHEN REQUIRED <br /> #1 Gary K. Anderson Plaza <br /> Decatur, IL 62523-1196 Minority Business Enterprise <br /> Participation Waiver Request <br /> tDate: t Project� � D � I Pt Titlee ve wcxer it <br /> ' Project Number: aU (y <br /> Prime Contractor: ng— E l2C.+ri C O t )ec cdu r <br /> ' Address: 19g 5 W, aa.nd S+ <br /> /lecaur,z L (Dasa S <br /> ' Phone: Lc2 I- 1J y a Q LQ (PQ <br /> Contact Person: Dc11e Tu rn ex <br /> ' Email: 6+Lkr-near an bCAlhema1 . Corn <br /> ' We hereby request a reduction in the Minority Business Enterprise(MBE) participation goals from 10%to O %on the <br /> above named project for the following reason(s). The firm further affirms that the stated reasons and documents <br /> provided are true 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) qL <br /> ❑ The award of subcontract(s) is impracticable. (Attach explanation) <br /> �6�S <br /> ' Signatu n e Contractor Date <br /> ' FOR OFFICIAL USE ONLY <br /> ❑ APPROVED ❑ DISAPPROVED <br /> ' Minority participation goals are reduced 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 insufficient proposals or inquiries from qualified MBE or firms that employ minority <br /> ' workers in response to a good faith effort to secure participation. <br /> REVIEWED BY: <br /> ' Public Works Director Date <br /> 20 <br />