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CITY OF SANTA ANA RE -BID <br />PROPOSAL <br />PROJECT NO.: 17-6876 <br />CROSSWALK UPGRADES PHASE II <br />FEDERAL PROJECT NO: HSIPL 5063(186) <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: Elecnor Belco Electric. Inc. <br />Business Address: 14320 Albers Way, Chino, CA 91710 <br />Business E-Mail Address: iwong(@elecnor.com <br />Telephone: 909-993-5470 <br />State Contractor's License No. and Class: 738518 A B C-10 <br />License Expiration Date: 7131121 <br />State Dept. of Industrial Relations (DIR) <br />Registration No.: <br />State Dept. of Industrial Relations (DIR) <br />Registration Expiratio^ate;/ <br />Signed: <br />Title: <br />1000004804 <br />6/30/22 <br />John Wong <br />Vice President <br />:Zd j�f pl2 RE -BID <br />