Laserfiche WebLink
City of Decatur, Illinois <br /> ' JW, #1 Gary K. Anderson Plaza Notification of Change in Participation <br /> Decatur, IL 62523-1196 <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 /> ' If changing from a previously identified subcontractor to another or to change from self-performing to a subcontractor, <br /> complete the followin : <br /> From Name: To Name: <br /> ' Address: Address: <br /> Phone: Phone: <br /> Status: ❑ MBE ❑ Non-MBE Status: ❑ MBE <br /> El Non-MBE <br /> Contract <br /> Amount: <br /> Will the scope of work change? ❑Yes ❑ No <br /> Describe the scope of work change: <br /> ' Reason for subcontractor change: <br /> Describe good faith efforts to utilize a MBE: <br /> ' Signature of Prime Contractor Date <br /> 34-ADDENDUM NO.2 <br />