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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. 9 D b e r t S t h e <br />Business Address: 3o6W. Knie11Gt Av2nUe,Uhtt6 Orange CA`12_20 <br />Business E-Mail Address: -t r 0 b e r t S@ t e rG b e rt 5 Co YY) <br />Telephone: 11 t-1 - to b 9- 0 0] 2- <br />State Contractor's License No. and Class 61i300$ A fCncrgl�Y\gwleerirq C3y pineLne <br />License Expiration Date: O C 10 b e y '.) I Z O ZZ <br />State Dept. of Industrial Relations (DIR) <br />Registration No.: t 0 0 0 0 0 0 2 9 0 <br />State Dept. of Industrial Relations (DIR) <br />Registration E t do ate: �\� n e 3D , 2Q 22 <br />Signed: <br />Timothy Robe rrs <br />Title: preSIdent <br />City of Santa Ana RFP 20-106 <br />Page Al-23 <br />H <br />