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& City of Decatur, Illinois RETURN WITH BID WHEN <br /> ' #1 Gary K. Anderson Plaza REQUIRED <br /> Decatur, IL 62523-1196 <br /> Minority Business Enterprise <br /> Participation Waiver Request <br /> Date: Project Title: 7T"WARD SEWER REHABILITATION <br /> Project Number: 2015-07/L17-5329 <br /> Prime Contractor: <br /> Address: <br /> Phone: <br /> Contact Person: <br /> ' Email: <br /> We hereby request that the City waive the Minority Business Enterprise(MBE) participation goals on the above named <br /> project for the following reason(s). We further affirm that the stated reasons and documents provided are true and <br /> ' 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 /> ' ❑ Other—(State reason and attach explanation) <br /> Signature of Prime Contractor Date <br /> FOR OFFICIAL USE ONLY <br /> ' ❑ APPROVED ❑ DISAPPROVED <br /> The m nority participation goals are waived on this project for the following reasons see Article 28-10-7 City 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 /> ❑ The contractor will self-perform all work and will not subcontract any portion of the project. <br /> REVIEWED BY: <br /> ' Public Works Director Date <br /> 33 -ADDENDUM NO.2 <br />