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CITY Oc SANTA ANA ADDENDUMNO.ONE <br />PROPOSAL, <br />PROJECT NO,:20-7S3S <br />LOCAL STREET CUR13 RAMP IMPROVEMENTS (PHASE 11) <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 CaliforniaDeparmment of Industrial. <br />Relations (DIR), and that the following is true and correct. <br />Contractor's Name: Vido Samaraich, Inc. <br />Husiness Address: 6629 Billings Place, Rancho Cucamonga CA 91701 <br />Business E-Mail Address: vidosam@yahoo:eom <br />Telephone: (909) 967-6377 <br />State Contractor's License No. and Class; 433210 Class A <br />License Expiration_ Date: 12/31 /2020 <br />State Dept, of Industrial Relations (DI, ) <br />Registration No.: 1000013213 <br />State Dept. of In ustrhd Relations (DIR) <br />Registration Ex atioIj <br />Date: 06/30/2020 <br />Signed: , <br />Title, Vice President <br />P-3 of P-16 <br />