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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NOS.: 19-6921 AND 19-6945 <br />FIRST ST. AND RAITT ST. SLURRY SEAL AND RESURFACING <br />CONTRACTOR'S LICENSING AND REGISTRATION STATEMENT <br />The undersigned contractor, or corporate officer, declares under penalty of perjury that he/she and <br />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: All American <br />Business Address: 400 E. Sixth Street Corona, CA 92879 <br />Business E -Mail Address: aublicworks@allamericanasphalt.com <br />Telephone: 951-736-7600 <br />State Contractor's License No. and Class: 267073 A. C-12 <br />License Expiration Date: 1-31-2020 <br />State Dept. of Industrial Relations (DIR) <br />Registration No.: 1000001051 <br />State Dept. of Industrial Relations (DIR) <br />Registration Expiration Date: 6/30/2019 <br />Signed: <br />Title: Edward J. Carlson, Vice President <br />P-5 of P-17 <br />23A-14 <br />