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radoOF COl\ <br /> rocurement � \` <br /> rocure STATE OF COLORADO <br /> egistry <br /> Procurement Registry i *) <br /> for Colorado Business 87 <br /> 6 <br /> C�'Suppnn°mlces CoYnaJn INflQMGcnllkatwn � <br /> The State of Colorado,through its Department of Regulatory Agencies,maintains a master list of firms that may be used in the State's <br /> discretionary procurement process. The list is posted on our web site for use by all State employees who make purchasing decisions. <br /> By completing this form and returning it with the requested documents,your firm will be registered on that list. If this form is <br /> returned incomplete or without the supporting documents your firm may not be registered. Questions about the registry should be <br /> directed to(303)894-2355. Please return the completed form and requested documents to: <br /> Division of Minerals and Geology <br /> 1313 Sherman St.,Rm.215 <br /> Denver,CO 80203 <br /> 1. Legal Name of Business <br /> Tezak Heavy Equipment Co. , Inc. FEIN 84-1112472 <br /> List dba,if any <br /> 2. Mailing address 201 Tunnel Drive, <br /> City Canon City State co o Zip+4 81212 <br /> 3. Business phone (719) 269-1173 Fax (719) 269-1148 <br /> 4. E-mail address office@theaggregatesource.com Web address <br /> www.theaggregatesource.com <br /> 5. Name of Contact person: Last <br /> Tezak First Rhonda <br /> 6. Type of work the company performs(use sic codes found at www.dora.state.us/Certification/sic.htm) 1423-1611-1629-5032 <br /> 7 Ownership information (use additional pages if necessary) <br /> W �*EKIT <br /> -t" `l...: ., <br /> Tezak Daniel E. 100% <br /> es <br /> it Ethmcltycoda �� a <br /> GeoderJT <br /> Al?ype codes �� Y <br /> � aley3 :9stanpacaftc qPc HI <br /> w}1SLC "non 'I15ITantC}' #WH <br /> x g 4tivtaed by r T, <br /> b <br /> „ ,� Nat%"ve encan _°:N •,.M.,. <br /> �<v <br /> 8. Is your company registered on the BIDS system? Y® <br /> Signature <br /> Title President Date 04-17-00 <br /> vicit these web sites for information on BIDS:www.assa.state.co.us;DBE Certification:www.dora.state.co.us/Certification <br /> l <br />