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,_ , , , 1 ,, , Exhibit G <br /> The corporate officers are as follows: <br /> President: <br /> Vice President: <br /> Secretary: <br /> C. PARTNERSHII' OR LLC <br /> The partners or members are as follows: (Attach additional sheets if necessary) <br /> Kevin E. Myers R R 2 Box 1]7 Clinton 1L 61727 (217)521-3143 <br /> Name Home Address &Telephone <br /> Gre�T L. Foltz 6935 W Cantrell Decatur IL 62522 (217)521-3142 <br /> Name Home Address &Telephone <br /> Daniel T. Jedrzejak 4180 Firestone Dr Hoffman Estates,1L 60192 (773)842-0500 <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 /> My home address is <br /> Telephone: Fax: <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 �so i�cs iosi3;65[LCS 5/3.1-55-10) <br /> A. This proposal is made without any connection or common interest in the profits with any <br /> other person other than the Consulting Engineer except as listed on a separate attached <br /> sheet to this affidavit. <br /> Check One: <br /> Others Interested in Contract None <br /> G-2 <br />