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MAR -13 -1997 14:16 <br />This form is used by the Division of Purchasing for informational purposes 2121 1. This form <br />cannot and will not be used in the evaluation of your bid or proposal. <br />RFP/BID NUMBER:. P K ' 4-04- <br />Small business participation: the State of Colorado is tracking the extent of participation by small <br />businesses The below information must be completed and submitted with your bid or proposaL <br />1_ Is your firm a small business *? Yes No <br />2. If yours is not a small business, please indicate, to the best of your ability, the total dollar <br />value of products and/or services that will be provided by small b siness subcontractors: <br />$ vdl <br />FEIN/Social Security #: 2 — (3 7 1 7 3 <br />(Federal Employer's Identification Number) <br />Title <br />4 <br />470 Fzv 2 ; ;05 <br />DIUISION OF PURCHASING 3038947445 P.03/03 <br />/.?.//).:e <br />Compan <br />ame <br />9 (3 2.t'A6 <br />Address <br />/1) C(C d -R605 <br />City /StaterZi�Code <br />/6-/7--97 <br />Phone and FAX Numbers Date <br />— for commodities and services defined as a business with a total of twenty -five or <br />fewer full - time equivalent employees and with its principal office located in the State of <br />Colorado. <br />-- for construction, defined as a general contractor with annual gross income under $16 <br />million, a subcontractor with annual gross income under $7 million and <br />architectural/engineering firms with annual gross income under $2.5 million. <br />