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Exhibit G <br /> The corporate officers are as follows: <br /> President: <br /> Vice President: <br /> Secretary: <br /> C. PARTNERSHIP OR LLC <br /> The partners or members are as follows: (Attach additional sheets if necessary) <br /> _Kevin E. Myers,PE_ _2796 US HWY 51 Clinton, IL 61727 217-521-3143_ <br /> Name Home Address & Telephone <br /> _Gregg L. Foltz, PE_ _6935 W. Cantrell Decatur, IL 62522 217-521-3143_ <br /> Name Horne Address & Telephone <br /> _Daniel T. Jedrzejak, PE_ _4180 N. Firestone Dr. Hoffman Estates, IL 60192 773- <br /> 842-0500_ <br /> Name Home Address & Telephone <br /> The business address is_5 N Country Club Rd. Decatur, IL 62521_ <br /> Telephone: _217-432-8544_ Fax:_217-422-0398_ <br /> D. INDIVIDUAL PROPRIETORSHIP <br /> The business address is <br /> Telephone: Fax: <br /> My home address is <br /> Telephone: Fax: <br /> SECTION II. NON-COLLUSION STATEMENT (50 ILCS 105/3;65 ILCS 5/3.1-55-10) <br /> A. This bid is made without any connection or common interest in the profits with any other <br /> person other than the Consulting Engineer except as listed on a separate attached sheet to <br /> this affidavit. <br /> Check One: <br /> Others Interested in Contract X None <br /> G-2 <br />