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Exhibit G <br /> Tl�e co►porate ofticers are as follo�vs: <br /> President: Gary L. Cudney <br /> VicePresident: Michael C. Ortlieb <br /> Secretaiy: Michael C. Ortlieb <br /> C. PARTNERSHIP OR LLC <br /> The pailncrs or members are as follows: (Attach additionAl sheets if neeessary) <br /> Name Home Address R Telephouc <br /> Name Home Address&Telepl�one <br /> Name Home Address fi Telephone <br /> The basiness address is <br /> Telephone: P�x: <br /> D. INDIVIDUAL PROPRI�TORSHII' <br /> The busiiiess address is <br /> Teleplione: Fax: <br /> My Itome address is <br /> Teleplione: Pax: <br /> S�CTION II. NON-COI,LUSION STATEMENT �so�[.cs�os�3;65 ILCS S/3.1•SS-10) <br /> A. This bid is made�vitliout airy co�mection oi•conunon iiiterest iit tl�e profits�vith ni�y otfier <br /> pe►�sou other than the Consulting Engineer except as listed on a separate attached sheet to <br /> this affid�vit. <br /> Check One: <br /> Others L�terested in Contract X Noue <br /> B. No department director or any en�ployee or any officer of the Ci1y of Decahu•Uas any financial <br /> interest,directly or indirectly,in tl�e award of this contract except as listed on a separate attached <br /> sheet to ihis affidavit. <br /> G-2 <br />