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� <br /> ' ��' Cit of Decatur, Illinois <br /> � -'' #1 Gary K. Anderson Plaza RETURN WITH BID WHEN <br /> ,�� Decatur, IL 62523-1196 REQUIRED <br /> ' Minori Business Enter rise <br /> tY p <br /> � Participation Waiver Request <br /> Date: Project Title: 2016 Annual Water Main Replacement Project <br /> , Project Number: 2016-10 <br /> ' Prime Contractor: Burdick Plumbing � Heating Co., Inc. <br /> 1175 North 20th Street <br /> Address: <br /> , neratur, Tllin�is 62�21 <br /> Phone: ��, ,.,�� <br /> ' Contact Person: Jeff Burdick <br /> Email: <br /> ' We hereby request to waive all of the Minority Business Enterprise (MBE) participation goals on the above named <br /> project for the following reason(s). The firm further affirms that the stated reasons and documents provided are true <br /> 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 te <br /> Jeff . u 'ck, Burdick PlumbingOR O��ICI�� US�E bNL�' <br /> F <br /> r � APPROVED ❑ DISAPPROVED <br /> � The minorit participation oals are waived 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 no proposals or inquiries from qualified MBE or firms that employ minority workers <br /> � in response to a good faith effort to secure participation. <br /> RE�( D B`�:^ , <br /> � �� G��( ��.�% 7- �� -���� <br /> , Public Works Director Date <br /> ' 25 <br />