Laserfiche WebLink
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 /> Kevin Myers 2796 US Highway 51 Clinton IL 61727 <br /> Name Home Address&Telephone <br /> Daniel Jedrzejak 4143 N Firestone Dr Hoffman Estates IL 60192 <br /> Name Home Address&Telephone <br /> Curtis Cook 2555 S. Watertown Rd Oregon IL 60061 <br /> Name Home Address&Telephone <br /> i <br /> The business address is 5 N. 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 H. NON-COLLUSION STATEMENT (501L.Cs 1053;651C.Cs 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 />