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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 16-2653 <br />CIVIC CENTER RENOVATE ADA ACCESS <br />CONTRACTOR'S LICENSING AND REGISTRATION STATEMENT <br />The undersigned contractor, or corporate officer, declares under penalty of perjury that he/she <br />and all his/her subcontractors are registered with the State of California Department of Industrial <br />Relations (DIR), and that the following is true and correct. <br />Contractor's Name: <br />Business Address: <br />Business E -Mail Address: <br />Telephone: �I Z,— (990 ­ Vin' �? <br />State Contractor's License No. and Class: (o:70LA -74?� A - C -'Z.,% - 1,-\-3 <br />License Expiration Date: 5136 -zo <br />State Dept. of Industrial Relations (DIR) <br />Registration No,: 1000 0 1 q a75Is <br />State Dept. of Industrial Relations (DIR) r <br />Regis at expiration Date: LA <br />Title: no <br />P-5 of P-17 <br />