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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 20-2706 <br />ADAMS PARK IRRIGATION IMPROVEMENTS <br />CONTRACTOR'S LICENSING AND REGISTRATION STATEMENT <br />The undersigned contractor, or corporate officer, declares under penalty of perjury that be/she <br />and 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: Marlposa Landscapes, Inc. <br />Business Address: 6232 Santos Diaz St„ Irwindale, CA 91702 <br />Business E-Mail Address: dave.widjajaceimariposa-ca.com <br />Telephone: (626) 960-0196 <br />State Contractor's License No. and Class: 692266 Class A, C27, WOO, C31 <br />License Expiration Date: 0413012022 <br />State Dept. of Industrial Relations (DIR) <br />Registration No.: 1000005079 <br />State Dept. of Industrial Relations (DIR) <br />Registration Expiration Date: o6/3012022 <br />w J / <br />Signed: <br />Title: President <br />P-4 of P-17 <br />