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PROPOSAL <br />PROJECTNO.: 14-6802 WARNER AVENUE STREETfMPROVEMENTS (MAIN TO OAK) <br />PROJECT NO.: 18-6424 WARNER AVENUE WATER MAIN IMPROVEMENTS (MAIN TO OAK) <br />PROJECT NO.: 20-6618 WARNER AVE STORM DRAIN IMPROVEMENTS {MAIN TO OAK) <br />CONTRACTOR'S LICENSING AND REGISTRATION STATEMENT <br />The undersigned contractor, or corporate officer, declares under penalty of perjury that he/she and <br />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: —1— c) C-) C , I �4 C...`, <br />Business Address: 7 o -bo H A- i t T` V I tJ E I C"11 & 91 2L W, <br />Business E-Mail Address: T) 11 1-A-.0 <br />Telephone: l0 ___ C� -5c .J.L+ — <br />State Contractor's License No. and Class: _3 A � t 2- <br />License Expiration Date: 0 '�5 Z 2-09-2- <br />State Dept. of Industrial Relations (DIR) <br />Registration No.: o C 0 c-) c FJ cx' <br />State Dept. of Ind <br />Ind trial Relations (DIR) <br />Registration ExMn'_atc,-, 0 A <br />Signed: <br />Title: 5�" cf:0 7-- <br />C-5 G 2- <br />City Council 17-20 3/16/2021 <br />P- 10 of P-23 <br />