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CERTIFICATE OF COMPLETION <br />BOARD OF EXAMINERS OF WATER WELL CONSTRUCTION <br />AND PUMP INSTALLATION CONTRACTORS <br />STATE OF COLORADO <br />All credits must be obtained by attendance at a class, course, seminar, conference, or other <br />program that received prior accreditation for continuing education from the Board of Examiners. <br />Summary of credits and course descriptions: <br />Course Name or Description <br />Course Number <br />(if applicable) <br />Hours <br />Date Attended <br />and Location <br />I HEREBY CERTIFY THAT: Total Hours <br />The credits listed above are a true and correct representation of the continuing education credits I <br />obtained during the period from to in the calendar <br />year of <br />I understand the Board of Examiners of Water Well Construction and Pump Installation <br />Contractors can, at any time, require that I furnish proof or verification of my attendance at the <br />courses listed above and that, <br />Pursuant to sections 37-91-105(7) and 107(4), C.R.S., renewal of my license is contingent upon <br />completion of at least eight hours of continuing education annually. <br />License No.: Print Name: <br />Date: <br />Submit the Certificate of Completion to the Board of Examiners of Water Well Construction and <br />Pump Installation Contractors with your license renewal application. To ensure license renewal <br />by February 1, the renewal application, bond continuation, Certificate of Completion, and <br />renewal fee must be received by the Board of Examiners no later than January 15. <br />