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1 � <br /> V 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 2796 US Hishway 51,Clinton,IL 61727 (217)935-5941 <br /> Name Home Address&Telephone <br /> Gregg L.Foltz 6935 W.Cantrell,Decatur,IL 62522 (217)963-2623 <br /> Name Home Address&Telephone <br /> Daniel T.Jedrzeiak 4180 N.Firestone Dr.,Hoffman Estates,IL 69192 (847)358-5744 <br /> Name Home Address&Telephone <br /> The business address is 5 N. Country Club Road,Decatur,IL 62521 <br /> Telephone: (217)422-8544 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 ILLS 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 sep&rate attached sheet to <br /> this affidavit. <br /> Check One: <br /> Others Interested in Contract X None <br /> B. No department director or any employee or any officer of the City of Decatur has any financial <br /> interest,directly or indirectly, in the award of this contract except as listed on a separate attached <br /> sheet to this affidavit. <br /> G-2 <br />