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, <br /> ' <br /> ' � ,� City of Decatur, Illinois <br /> �� -` #1 Gary K. Anderson Plaza RETURN WITH <br /> ,�,,� Decatur, IL 62523-1196 BID <br /> ' Subcontractor Utilization Statement <br /> Date: Project Title: 2016 Annual Water Main Replacement Project <br /> ' Project Number: <br /> 2016-10 <br /> , Prime Contractor: Burdick Pl,�mh;ng � Ncaatin�r., � ��E� <br /> Address: ���� �e��� ���S�e <br /> , Decatur, Illinois 62521 <br /> Phone: 217-429-2�RS <br /> rContact Person: Jef� �u���el� <br /> � Email: jeff@burdickplumbing_r-rnn <br /> Subcontractors: <br /> Subcontractor Name MBE or Amount %of Total Scope of Work <br /> , Non-MBE Contract <br /> l°/a <br /> � Sarto Contractors Non—MBE $17,200.00 y''�o Seeding <br /> Bodine Electric Non—MBE $24,045.00 �.��o Borin <br /> � Dunn l���° <br /> Hazels Haulin Non—fl�iBE T � M Truckin — Low Bid <br /> ' Woo Woo � Jo Jo's Inc. MBE T fi M '�' Truckin — 2nd L <br /> ' Totals <br /> • If more subcontractors are utilized, please copy this form and attach the additional information. <br /> ' The City of Decatur is committed to promoting minority participation in public works construction projects and in accordance with ! <br /> Article 28-10 of the City Code, has established the subcontractor utilization goal of 10% Minority Business Enterprises are to be '� <br /> ' used in the execution of this project. Prime Contractors have an obligation to make a good faith effort to advance the City's I <br /> commitment to increase diversity among the firms working on City construction projects. <br /> This form must be completed and submitted with the bid proposal. All subcontractors intended for use on this project shall �� <br /> be listed in the columns above; along with the total amount to be paid to the subcontractors; percentage of total contract; and I <br /> ' scope of work. If for whatever reason the Prime Contractor has to utilize a subcontractor not listed above, they must submit a <br /> Notification of Change in Participation with the necessary support documentation. <br /> � The undersigned certifies that the information included herein is true and correct; the subcontractors listed above have agreed to <br /> perform the scope of work described. The undersigned further certifies that it has no controlling, dominating, or conflict of <br /> interest in any of the listed subcontractors. <br /> , 23 <br />