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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: G <br />Business Address: 1104 Uhi+ 6-. 5- GIVOv'e Prve. ph.}gtjp C=h-- 91-7to1 <br />Business E-Mail Address: <br />Telephone: 90q ' S4d '2 (p2tp <br />State Contractor's License No. and Class: 2Lola 1 ® <br />License Expiration Date: 10 <br />State Dept. of Industrial Relations (DIR) <br />Registration No.: p ®O �tq L) <br />State Dept. of Industrial Relations (DIR) <br />Registration Expiration) e+ W 130I yp <br />Signed:1�] <br />Title: 1'heSiY1N <br />P-7 of P-19 <br />