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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 17-6894 <br />EUCLID STREET AT HAZARD AVENUE SIGINAL 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: 08/31/2020 <br />State Dept. of Industrial Relations (DIR) <br />Registration No.: 1000007032 <br />State Dept. of IndusOpD <br />elations (DIR) <br />Registration Expiratie: 06/30/2020 <br />Signed: <br />Title: Earnest Brown- President So Cal Div. <br />P-5 of P-39 <br />