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� 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 /> Date: Project Title: <br /> Project Number: <br /> Prime Contractor: <br /> Address: <br /> Phone: <br /> Contact Person: <br /> EmaiL <br /> We hereby request a reduction in the Minorit Business Enter rise MBE artici ation oals from 10%to % on the II� <br /> Y p � ) P p 9 , <br /> above named project for the following reason(s). The firm further affirms that the stated reasons and documents I <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) <br /> ❑ The award of subcontract(s) is impracticable. (Attach explanation) <br /> Signature of Prime Contractor Date <br /> FOR OFFICIAL USE ONLY <br /> ❑ APPROVED ❑ DISAPPROVED <br /> Minorit participation oals are reduced on this pro'ect for the followin reason s see Article 28-10-7 Cit 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 />