The Southwest Asia Service Medal is a military award of the United States Armed Forces which was created by order of President George H.W. Bush on March 12, 1991. The award is intended to recognize those military service members who performed duty as part of the Persian Gulf War and for a time thereafter. The medal was designed by Nadine Russell of the Army's Institute of Heraldry. The colors of the ribbon are tan, representing sand, with the black, white, red, blue, and green colors symbolizing the colors of coalition countries' national flags