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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 16-6466 <br />WILLARD NEIGHBORHOOD SEWER MAIN IMPROVEMENTS <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: G.J. Gentry General Engineering, Inc. <br />Business Address: 1297 W 9th Street. Upland, CA. 91786 <br />Business E-Mail Address: bryanm@gjgentry.com <br />Telephone: (909) 693-3391 <br />State Contractor's License No. and Class: 991354 - A <br />License Expiration Date: 03/31/2020 <br />State Dept. of Industrial Relations (DIR) <br />Registration No.: 1000009875 <br />State Dept. of Industrial Relations (DIR) 06/23/2019 <br />Registration Expiration Date: <br />Signed: <br />Title: <br />P-4 of P-16 <br />23B-12 <br />