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CITY Or SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 15-6453 <br />RIVERVIEW NEIGHBORHOOD WATER MAIN IMPROVEMENTS <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 oflndustrial <br />Relations (DIR), and that the following is true and correct, <br />Contractor's Naive: A U I'll e C <br />Business Address: 4 2sR[ ell25d <br />Business E-Mail Address: aJ e� rti[ I c'r�i C l- a nib Co �. - <br />Telephone: (Aoci%-y1-3(�37- <br />State Contractor's License No, and Class: 40 C1 I -+ I r <br />License Expiration Date: 1t - 3d - 2o1 <br />State Dept. of Industrial Relations (DIR) <br />Registration No- 1 00O0 0ZI5` <br />State Dept, of industrial Relations (DIR) <br />Registration Expiration Date: <br />Signed; A J bjc, NOD Um IIZ <br />Title: pi-e 6 dM �- <br />P-5 of P-17 <br />