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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: <br />Business Address: <br />y`qv 1rviNe ulyol. #F/OS- Yoq 1rviKe Clt q,dpo <br />Business E-Mail Address: 5 e <br />Telephone: q q J-- y0 o—! t o 0 <br />State Contractor's License No. and Class: A - 7 71q y 7 <br />License Expiration Date: ©DI - a g - 22 <br />State Dept. of Industrial Relations (DIR) Registration No.: O Q O O oo 7 y6 6 <br />State Dept. of Industrial Relations (DIR) <br />Registration Expiration Date: <br />Signed: <br />Title: <br />30/?aa2 <br />My of Santa Ana RFP 20-106 <br />Page Ai-23 <br />