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- CITY OF SANTA ANA <br />SPECIFICATIONS <br />PROJECT NO.: 21-6446 <br />BAKER-GLENWOOD SEWER MAIN UPGRADE <br />CONTRACTOR'S LICENSING AND REGISTRATION STATEMENT <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 the following is true and correct. <br />Contractor's Name: <br />v0K <br />Business Address: YT 90 Irv;,ne 6lv✓l.Ir's'Y�`ryILA e (A gaG)a <br />Business E-Mail Address: se- D e b i,i bPh eK o f iiee rill 4.[ <br />Telephone: / Y 1— 6 6 f% — f y o d r <br />State Contractor's License No. and Class: 7 7 `l 'l cl Y ' it <br />License Expiration Date: 0 a— R 8 rC a <br />State Dept. of Industrial Relations (DIR) <br />Registration No.: (% 0 0 0 t? 7Y 6 6_ <br />State Dept. of Industrial Relations (DIR) <br />Registration Expiration Date: d6 /30 A ai <br />Signed: <br />Title: V res i-ofe-" 1— <br />E <br />