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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 17-6885 <br />EDINGER PROTECTED BIKE LANES <br />FROM SANTA ANA RIVER TO BRISTOL ST. ATPL-5063(172) <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: AU " eu(_* J//�� /� - ,, n /� Q p <br />Business Address: P.O. L4 ZZ^Z_"I — �1l�R s-r�/-f L 20 <br />Business E-Mail Address: <br />Telephone: <br />State Contractor's License No. and Class: *4 24 767 3 C- 1 L <br />License Expiration Date: - 31 Zin <br />State Dept. of Industrial Relations (DIR) <br />Registration No.: I DOOM 18 S / <br />State Dept. of Industrial Relations (DIR) <br />Registration Expiration Date: � - 30 -ZO <br />Signed: <br />Title: <br />