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Exhibit G <br /> The corporate officers are as follows: <br /> President: <br /> Vice President: <br /> Secretary: <br /> C. PARTNERSHIP OR LLC <br /> The partners or members are as follows: (Attach additional sheets if necessary) <br /> JKevin E.Myers 2796 US Highway 51, Clinton,IL 61727(217)935-5941 <br /> Name Home Address&Telephone <br /> Dan Jedrzejak 4180 N. Firestone Dr,Hoffinan Estates,IL 60192(847)358-5744 <br /> Name Home Address&Telephone <br /> Curtis Cook 2555 South Watertown Road,Oregon,IL 60061 (815)266-2904 <br /> Name Home Address&Telephone <br /> The business address is 5 North Country Club Road,Decatur, IL 62521 <br /> Telephone: (217)422-8544 Fax: 217 422-0398 <br /> D. INDIVIDUAL PROPRIETORSHIP <br /> The business address is <br /> Telephone: Fax: <br /> My home address is <br /> Telephone: Fax: <br /> SECTION II. NON-COLLUSION STATEMENT (50 ILCS 105/3;65 ILCS 5/3.1-55-10) <br /> A. This bid is made without any connection or common interest in the profits with any other <br /> person other than the Consulting Engineer except as listed on a separate attached sheet to <br /> this affidavit. <br /> Check One: <br /> Others Interested in Contract X None <br /> B. No department director or any employee or any officer of the City of Decatur has any financial <br /> interest,directly or indirectly, in the award of this contract except as listed on a separate attached <br /> sheet to this affidavit. <br /> G-2 <br />