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PROPOSAL <br />•FC NO.: : 900 <br />BUSH STREET BICYCLE BOULEVARD <br />PROJECT NO.: 21-6442 <br />BUSH STREET BIKEWAY WATER IMPROVEMENTS <br />PROJECT NO.: 21-6443 <br />BUSH STREET BIKEWAY SEWER IMPROVEMENTS <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: PALP, INC DBA EXCEL PAVING <br />2<_ <br />JO LEMON AVE <br />Business Address: LONG BEACH, CA 90806 <br />Business E-Mail Address: Vattm�laf�rzcotnavana net <br />Telephone: 562) 599-5841 <br />STATE LIC# 688659 <br />State Contractor's License No. and Class: A. CIZ C31 <br />License Expiration Date: <br />U Z2- <br />State Dept. of Industrial Relations (DIR) <br />Registration No.: 100 ()()() 3M ) <br />State Dept. of Industrial Relations (DIR) <br />Registration Expiin Date: (0 <br />Signed: <br />Title: //turtts P. Brown III President <br />20A-25 <br />P-9 of P-22 <br />