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City of Decatur, Illinois RETURN WITH BID <br /> #1 Gary K. Anderson Plaza <br /> Decatur, IL 62523-1196 Subcontractor Utilization Statement <br /> Date: T Project Title: <br /> Total Contract Value: Project Number: <br /> Section 1: Prime Contractor Information <br /> Prime Contractor: <br /> Address: <br /> Phone: <br /> Contact Person: <br /> Email: <br /> Section II: Selected Subcontractors ; <br /> I Subcontractor Name MBE or Amount %of Total Scope of Work <br /> Non-MBE Contract <br /> Totals <br /> • If more subcontractors are utilized,please copy this form and attach the additional information. <br /> Section III: MBE subcontractors that submitted bids but were not selected <br /> ' Subcontractor Name Scope of Work Bid Reason for Denial <br /> I � <br /> Page 1 of 2 <br />