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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 15.6446 <br />SAINT GERTRUDE AND GRAND AVENUE WATER MAIN REPLACEMENT <br />CONTRACTOR'S LICENSING AND REGISTRATION t#TATEMENT <br />The undersigned contractor, or corporate officer, declares under penalty of perjury that he/she <br />and all his/her subcontractors are registered with the State of California Department of Industrial <br />Relations (DIR), and that tite following is true and correct. <br />Contractor's Name: Akk 0-heS Sn41neev:le+t. We <br />Business Address: q SSI 5 w owe3r.a S c -Ma,1 M6nl c valley f A n'153 i <br />Business E-Mail Address: 'i�avee%,'le%'ya4ac. coa. <br />Telephone: 3A6V <br />State Contractor's License No. and Class: 1 oua 1:41 C A) <br />License Expiration Date: if 13o/2.!? 2-1 <br />State Dept. of Industrial Relations (DIR) <br />Registration No.: I C000 'fiV S /S <br />State Dept. of Industrial Relations (DIR) <br />Registration Expiration Date: to /30/ Zoz l <br />Signed: <br />Title: ("ip_� tp- eAro lS l <br />P-6 of P-19 <br />