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<br />< ~ ~ ~ • <br />MtNORITY AND W~~MEN BUSINESS ENTERPRISES <br />PARTICIF~ATIO~V REPORT <br />Project No. Project Title: <br />Colorado Water Conservation Board <br />Institution or Agency <br />Olsson Associates, Inc. <br />SIZS/~v <br />ArchitecUEngineer/Consultant or Contractor <br />Total Contract Amount: $ 50.000 <br />Principal Representative <br />MBE: Yes ^ WBE: Yes ^ <br />No ~ No ~ <br />Name and Address of M/WBE MBE WBE Type of Work <br />Subcontractors and/or Suppliers and/or C~ontract Contract <br />Self-Pertormed Work b M/WBE Primes* Amounts Amounts <br />Work to be done in-house <br />'Indicate ethnicity based on Paragraph III. A. <br />Total MBE Contracts: $ -- <br />Total WBE Contracts: $ -- <br />Total MBE %: - <br />Total WBE %: - <br />SIGNATURES: <br />Princip Repr senta ' e <br />C~ <br />Authorized Represeniative <br />MW BE-1 <br />(09/2004). <br />Archite nginee / s a Contractor <br />Authorized Representative <br />