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CITY OF SANTA ANA <br />BID PROPOSAL <br />PROJECT NO.: 17-2674 <br />CENTER STREET URBAN GREENING <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: C <br />Business Address: 00 Vh1+ (�. - Cs"ve PrVL C}n}cttl E—A_ cfl-71P/ <br />Business E-Mail Address: <br />Telephone: 2 cl S 10 '.-2 Gp 2-tp <br />State Contractor's License No. and Class: ,F2, (D 9--1 0 f, r 1 <br />License Expiration Date: l O i 'a 1 <br />State Dept. of Industrial Relations (DIR) <br />Registration No.: (j o 000 <br />State Dept. of Industrial Relations (DIR) <br />Registration Expiration D _ �3 0 2-0 <br />Signed: <br />Title: h2ihF <br />P-7 ofP-19 <br />20A-23 <br />