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<br />D.O.H. FORM No, 318 <br />Rev. June 19b9 <br /> <br />Project No, BRF 050-1 (7) <br />NORTHWEST OF DELTA <br />Location nFITA Cf111NTV <br />STATE OF COLORADO ) <br />ss <br />courlTY of MESA ) <br />The undersigned, of lawful age, being duly sworn, deposes and <br />says; <br />That as a prerequisite to the award to me or us of the State <br />Department of Highways, Division of Highways, State of Colorado, contract <br />for the construction of the above listed Project, 1, as the ~Xti3(i~(X#J(dX <br />d1~~(~lfX#XX~(dlfXdf~iEk* officer ~~ ),(~(~XifXdl(X~(311;~~'1X~,VXB#: <br />LARRY W. CORN, PRESIDENT <br />Officer <br />of CORN CONSTRUCTION CD. <br />firm <br />X~XXX,~~XXhEXbXX~)fXXiiXh~3I~XX*, do hereby certify that my Company or Firm does <br />not maintain or provide for any employee any segregated facility on the <br />basis of race, creed, color, or national origin, at any of the Company~s <br />or Firm's establishments; and, further certify that the Firm or Company <br />does not permit employees to perform their services at any location under <br />the Firm's or Company's control where segregated facilities are maintained, <br />The Company or Firm agrees that a breach of this Certification <br />is a violation of the Equal Opportunity Clause in this contract. <br />The Company or Firm further agrees that, (except where identical <br />Certification from proposed Subcontractors for specific time periods has <br />been obtained), the Company or Firm will obtain identical Certification from <br />proposed Subcontractors prior to the award of subcontracts exceeding $10,000, <br />which are not exefipt from the provisions of the Equal Opportunity Clause and <br />will retain such Certification in his/their files. <br />~. <br />*Please circle applicable CORN CONSTRUCTION CO. <br />phrase, Contractor <br />arry~ orn, rest en <br />Subscribed and sworn to befor a this 9th day of <br />February 1977 <br />~ ~l~ ~ <br />(scat) ~~,: !~'' /' , .~~ ~ <br />• ~~Utary'Public __ <br />My commission expires` June 2, 1977 __ <br />