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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 1 b-2b54 <br />THORNTON PARK RESTROOM <br />(CONTRACTOR'S 1,ICENSTNG AND REGISTRATION STATEMENT <br />The undersigned contractor, or corporate officer, declares under penalty of perjury that he/she <br />and all his/her subcontraetors 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: Civic. Construction Associates <br />Business Address: 79 Daily Drive, #171, Camarillo, CA 93010 <br />Business E-Mail Address: ecamayfair@yahoo.com <br />805-551-5211 <br />Telephone: <br />994455 "A" and "C-2711 <br />State Contractor's License No. and Class: <br />7/31/2020 <br />License Expiration Date: <br />State Dept. of Jndustriat Relations (DIR) 1000411013 <br />Registration No,; <br />State Dept. of Industrial Relations fDl1 06/30/2021 <br />Registration Expiration D <br />Title; CEO/President <br />P-5 of P-17 <br />