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STATE OF COLORADO <br />01 OFFICE OF THE STATE ARCHITECT <br />* : *� STATE BUILDINGS PROGRAMS <br />* * ` - 76/ MINORITY/WOMEN BUSINESS ENTERPRISE PARTICIPATION REPORT <br />SWs <br />Institution /Agency: <br />Project No. /Name: <br />TO BE ELIGIBLE FOR AWARD OF THIS CONTRACT, EACH CONTRACTOR (INCLUDING <br />ARCHITECT / ENGINEER /CONSULTANT /CONTR ACTOR) IS REQUESTED TO COMPLY WITH THESE REQUIREMENTS. <br />I. The undersigned Architect/Engineer/Consultant/Contractor hereby certifies that the (company) (joint venture) (is) (is not)* a <br />minority enterprise as defined in this report. The undersigned Architect /Engineer /Consultant/Contractor hereby certifies the <br />(company) (joint venture) (is) (is not)* a woman -owned business enterprise as defined. ( *Strike out where inapplicable.) <br />*Persons signing hereby swear and affirm that they are authorized to act on Architect/Engineer/Consultant/Contractors behalf and <br />acknowledge that the State is relying on their representations to that effect. Principal is not a recognized title and will not be <br />accepted <br />ARCHITECT /ENGINEER /CONSULTANT /CONTRACTOR <br />C_ <br />of Contrafling Entity <br />By: Y cr,X- v IV U <br />Name (print) <br />Date: �2– – 19 — I o <br />Title <br />It. It is the general policy of the State of Colorado to be as inclusive as possible to all member communities when spending <br />taxpayer dollars. <br />III. REQUIREMENTS <br />A. Minority Business Enterprise (MBE) means, for the purpose of this report, a business enterprise at least 51 percent that is <br />owned and controlled by minority group members, or, in the case of a publicly owned business, at least 51 percent of the <br />stock of which is owned and controlled by minority group members. Eligible persons are expected to be engaged full time <br />in the day -to -day operation and management of the business. Minority group members are ethnic minorities including <br />African American, Hispanic American, Native American or Asian/Pacific American. <br />B. Women Business Enterprise (WBE) means, for the purpose of this report, a business enterprise of at least 51 percent of <br />which is owned and controlled by a woman or women, or, in the case of a publicly -owned business, at least 51 percent of <br />the stock of which is owned and controlled by women. Women are expected to be engaged full time in the day -to -day <br />operation and management of the business. <br />C. The State of Colorado does not have a certification process nor does it require MBE's and WBE's to be certified EXCEPT <br />for certain contracts for highway and bridge construction administered by the Colorado Department of Transportation. <br />D. The percentages of minority and women -owned business participation will be determined by dollar value of the work <br />subcontracted to or joint ventured with minority and women -owned firms, as compared to the total dollar value of the bid <br />amount for all work bid under this contract. <br />State Form MWBE -1 Page 1 of 2 <br />Rev. 10/2008 <br />