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r-onn O-fill.-U<::-j ;! . CERTIFICATION . , . -. ;i:( ~, ''I TO. Rudolph Livingston Executive Director Department of Personnel 118 State Centennial Building 1313 Sherman Street Denver, Colorado 80203 RE: Personal Service Contract Classification The undersigned hereby certifies that the attached contract, Contract Routing No. , from the Department of Natural Resources (Dept.) has been examined, and the following have been determined concerning the correct classi- fication of the contractor undertaking the services and work which are the subject of the oontraot. The contractor is a firm or individual: (a) who is responsible for the results of the work to be undertaken, but is not subject to the State's control as to the means and methods of aocomplishing these results; -lL- YES NO (b) who selects his clients and is free to work for one or more during any given interval; -L YES NO . -olc) who determines the time and place the work will be performed; .:.:." "- c...... 0' -L YES NO " (d) who provides the tools, materials and office space needed to perform the work; x YES NO I.!.. ; Q .......:- ::":Q~ C} l" (e) who does not partioipate direotly or indirectly in benefit programs of the State (for example, is not covered by the State for Workmen's Compensation insuring for injury to himself, for Publio Liability insuring for injury to others, or for unemployment compensation); -1:L. YES NO (" ,,' <-" (f) who may agree to perform specifio servioes for a fixed prioe and generally does not receive regular amounts at stated intervals. ....x....- YE S NO Affirmative responses to the listed classification indioia identify the services to be contracted as those of an independent contractor; negative responses as those of an (temporary) employee. Any necrative response where the certifiea classification is that of an independent COntractor will require, in addition, a qualifioation by written explanation acoompanying this oertification. If the explanation is not at~ached, the class~f~ca~icn shall be presumed to be that of an employee. Accordingly, the a~tached oontraot is determined to be and is so oertified as an independent contractor~V,.~y><ar:l(strike~) contract. Upon examina~ion tractor, the following between the contraotor of the records of this Department and inquiry of the con- is the history of any and all contracts entered into and the State during the last two years. Classification of Contract Construction Be<;inninq Date Ending Date 8/1/2022 Executive Department Natural Resources 8/1/1982 SIGNED this day of ,19__ RESOlIRr.FS