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20D - AA FOR TRAFFIC SIGNAL MODIFICATION
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05/19/2020
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20D - AA FOR TRAFFIC SIGNAL MODIFICATION
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Last modified
5/14/2020 4:22:38 PM
Creation date
5/14/2020 4:15:11 PM
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City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
20D
Date
5/19/2020
Destruction Year
2025
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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 17-6894 <br />EUCLID STREET AT HAZARD AVENUE SIGNAL MODIFICATION <br />FEDERAL PROJECT NO: HSIPL 5063 (171) <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: International Line Builder's, Inc. <br />Business Address: 3955 Temescal Canyon Road Corona, CA 92883 <br />Business E-Mail Address: Omar. Echeverri@ilbinc.com <br />Telephone: (951) 682-2982 <br />State Contractor's License No. and Class: 782515 A-C10 <br />License Expiration Date: <br />08/31 /2020 <br />State Dept. of Industrial Relations (DIR) <br />Registration No.: 1000007032 <br />State Dept. of Indus 'al elations (DIR) <br />Registration Expirati n D te: 06/30/2020 <br />Signed: <br />Title: Earnest Brown- President So Cal Div. <br />;QP, 7)P <br />
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