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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 19-6942 <br />LOCAL STREET PREVENTATIVE MAINTENANCE FY 2018-19 <br />CONTRACTOR'S LICENSING AND REGISTRATION STATEMENT <br />The undersigned contractor, or corporate officer, declares tinder 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: All American Asphalt <br />Business Address: 400 East Sixth Street, Corona, CA 92879 <br />Business E-Mail Address: publicworks0allamericanasphalt.com <br />Telephone: 951-736-7600 <br />State Contractor's License No. and Class: 267073 A, C-12 <br />License Expiration Date: 01/31/2020 <br />State.Dept. of Industrial Relations (DIR) <br />Registration -No.: <br />State' Dept. of Industrial Relations (DIR) <br />Registration -Expiration Date: <br />Signed: <br />1000001051 <br />06/30/2019 <br />Title: Edward J. Carlson, Vice President <br />P-4 of P-16 <br />23A-31 <br />