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CONTRACTOR'S LICENSING AND REGISTRATION STATEMENT <br />The undersigned contractor, or corporate officer, declares under penalty of perjury that he/she and all <br />his/her subcontractors are registered with the State of California Department of Industrial Relations (DIR), <br />and that the following is true and correct. <br />Contractor's Name: T E. Roberts, k n C <br />Business Address: 3C6 W. Kq}ells Avenue, Untt �, Orancle, CA `12867 <br />Business E-Mail Address: -f Y o b e Y t S@ to ro b e rt S. Co YYl <br />Telephone: 1 1 LI - to b 9. 0 0 12 <br />State Contractor's License No. and Class: b03o0$ - A-Gencrctl Engiheering.G34 Pincbne- <br />License Expiration Date: 0 Ct o b e Y 3I , 2.o 2-2- <br />State Dept. of Industrial Relations (DIR) <br />Registration No.: _ 1 0 0 0 0 0 0 2 so <br />State Dept. of Industrial Relations (DIR) <br />Registration E " do ate: n e 3D , 20 219 <br />Signed: <br />Timothy Roberrs <br />Title: preSidr-ot <br />City of Santa Ana RFP 20-106 <br />25Ge913 <br />