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CITY OF SAN'TA ANA <br />PROPOSAL <br />PROJECT NO:! 21-6457 <br />VALLEY ADAMS NEIGHBORHOOD WATER MAIN IMPROVEMENTS PHASE <br />CONTRACTOR'S LICENSING AND REGISTRATION STATEMENT <br />The undersigned contractor; Or corporate officer, declares tinder penalty of perjury that he/she <br />and all his/her subcontractors are registered with the State of California Department of Industrial <br />Relations (DIl?;), and that the following is true and correct, <br />Contractor's Name; Stephan Doreok;Equiment Rentals Inc. <br />Business Address; 9075 Telegraph Road, Pico Rivera, CA 90660 <br />Business E-Mail "Address: Pablo_ t�dorockmnstructiotlcom <br />Telephone; 562.949,4940 <br />State Contractor's License No. and Class: 665471-A <br />l icense Expiration Date: 02/28/2022 <br />State Dept. of Industrial Relations (DIR) <br />Registration No. 1000011335 <br />P-5 ofP-18 <br />