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Exl�ibit G <br /> Exhibit G <br /> CONSULTMG ENGINEER'S DISCLOSURE AFFIDAVIT <br /> (NOTE: ?his Affidavil must be completely filled oul and signed by nny parly doing business wilh the City. This <br /> ACfidavit nssists the Ciry iu iunking delcnninations relative ro cou(lict of interests nnd oiher In�vs-if questions <br /> contact the City of Decetur Legal Deparlment nt 217/424-2807.) <br /> S'1'A'I'�Ur' Michigan � <br /> )ss. <br /> COUNTYOr' Kalamazoo � <br /> S�CTION I. BUSWESS STATUS STATEMENT <br /> l,Qie undersi�►ed,being duly s�voi7�,do state as follo�vs: <br /> p, Carl Walker Inc. (Herein�Aer"Consulting Eugineer")is a: <br /> Company Name <br /> (Pl�ce n��rk in front of nppropriate type of Uusiness) <br /> X COlp01'AtlQll�If fl COI'p01'A11011,complete B) <br /> Pnrtnership(if a Pa�lnership,com��lete C) <br /> Limited Liability Co�poration(if au LLC,complete C) <br /> Individual Proprietorship(if an Individual,con�plete D) <br /> Consulting Engineei°s Federal Tax IdentificationNumber is 38-2622047 <br /> B. CORPORATION <br /> The State of L�corpor�tio�i is Michigan <br /> Registered Agcn1 of Coiporation ii�Illinois: Business L�fonnatio»(If Different G•om Above): <br /> CT Corporation System <br /> Neme Con�pany Address,Principal Oftice <br /> 208 S. LaSalle Street <br /> Address City,State,Zip <br /> Chicago, IL 60604 <br /> City,State,Zip Telephone Facsimile • <br /> (404) 965-3787 <br /> Tele houe Website <br /> G-1 II <br />