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• olorado - <br /> Cp '� <br /> rocurement �• - l�,p <br /> STATE OF CO�,ORADO mow= <br /> - egistry <br /> Procurement Registry ° <br /> nIh,— for Colorado Business \' <br /> c.,k iw�pnwK� Uwr.1n06—acmormun /876 <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. <br /> 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 GARY RINDERLE CONSTRUCTION, INC. FEIN 84-1204710 <br /> List dba, if any <br /> 2. Mailing address P 0 BOX 1380 <br /> City CL I FTON State CO Zip+4 81520-1380 <br /> 3. Business phone (970) 434-0510 Fax (970) 434-6510 <br /> 4. E-mail address GRC11380@aol .com Web address <br /> 5. Name of Contact person: Last RINDERLE First GARY <br /> 6. Type of work the company performs(use sic codes found at www.dora.state.us/Certification/sic.htm) <br /> 7. Ownership information (use additional-pages if necessary): <br /> LASTNAMS , _ a< ,. DLE� °oOWNED" ;GS END " <br /> ' <br /> '.e .w' <+ "+�v ]rfTlAi ffEE ? <br /> RINDERLE GARY E 51% H WH <br /> RINDERLE LINDA L 49% F WH <br /> Gezider/T a cqd s* - - <br /> �. yp„ es• ale.';:moo,.::r M. _Ethnicity <br /> , tit - <br /> i • ` ....:,; ctnaIe«,',,:��:�;�;�"� :�v ^`�: AsiaaPacific�,;:°;�A,I��: ispani; .... w <br /> 7 ; ;a; •.>.; . ;t i .c Chvned by:Tnbe...s.- »T% �, Btack� : ..: :,::'.g'Bi: Whife on-Hispania) <br /> a r .� ..; r ,� rA' _- w Other; _--��•...;�ar .Of <br /> a.` Publicly held .P? `?; _,21�tativa Amorican. .NA• �::> _ <br /> 8. Is your company registered on the BIDS system? Yr-� NQ. <br /> Signature Title PRESIDENT Date 6 7 O1 <br /> Vkit theee web sites for information on BIDS:www.essa.state.coms;DBE Certification:www.dora.state.co.us/Certification <br />