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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 15-6448 <br />THORNTON PARK NEIGHBORHOOD WATER MAIN IMPROVEMENTS <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: Stephen Doreck Equipment Rentals, Inc. <br />Business Address: 9075 Telegraph Road, Pico Rivera, CA 90660 <br />Business E-Mail Address: pablo@doreckconstructlon.com <br />Telephone: 562) 949-4949 <br />State Contractor's License No. and Class: 665471-A <br />License Expiration Date: 02/29/2020 <br />State Dept. of Industrial Relations (DIR) <br />Registration No.: <br />:,,State Dept. of Industrial Relations (DIR) <br />JRegistration Expir �Date;,,/ <br />Signed:' <br />1000011335 <br />06/30/2019 <br />Title: Pablo Viramontes / Vice President <br />P-4 of P-16 <br />23A-15 <br />