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I '� � <br /> �� City ofi Decatur, Illinois RETURN WITH BID WHEN REQUIRED <br /> , ��"' <br /> #1 Gary K. Anderson Plaza <br /> Decatur IL 62523-1196 <br /> , <br /> Minority Business Enterprise <br /> iParticipation Waiver Request <br /> � Date: bg �2� �S Project Title: � -- � <br /> Project Number: C � �(,�� ZO/�0'�0 <br /> , Prime Contractor: � e l�T � (�. � �4 ( �//lft�,f �Q/(,(_ <br /> ' Address: <br /> � 2 � � _ /I�-���� CS�!'-�'r <br /> l�'' �- � . (0 2 S z Z <br /> Phone: �(1 �29- �c.� <br /> , �., <br /> Contact Person: [��� � _ �(J� <br /> ' Email: � �1��,(,�,./�./�-GD , CdYYl <br /> ' We hereby request a reduction in the Minority Business Enterprise(MBE) participation goals from 10%to � %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) �l�a.se. sca A}fz�.c�� ���A.n�..��I� <br /> ' ,� u-�cw- u�p <br /> ❑ No subcontracting opportunities exist. (Attach explanation) aF a� <br /> ❑ The award of subcontract(s is impracticable. (Attach explanation) <br /> ' I <br /> , [�r3'Zf� �ldiS <br /> Signature of Prime Contractor Date <br /> ' FOR OFFICIAL USE ONLY <br /> '� APPROVED ❑ DISAPPROVED <br /> � Minori artici ation oals are reduced on this ro'ect for the followin reason s see Article 28-10-7 Ci Code : <br /> ❑ The project is essentiat 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 /> ' IEWE BY: <br /> ( " � I - �.� I '� <br /> Public Works D' c o Date <br /> ' <br /> 19 <br />