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ADDENDUM NO. ONE <br />CITY OF SANTA ANA PROJECT NO. 22-7537 <br />PROPOSAL <br />PROJECT NO.: 22-7537 <br />LOCAL STREET CURB RAMP IMPROVEMENTS <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: &be* 4 yI r. <br />Business Address: -I600 Xe4e,g Ave, , 61atden i�—%Dye, c"y <br />B� <br />Business E-Mail Address: Ir4y t� Asbes : d 2,,/- <br />Telephone: _ �71 q - RR — , j IO <br />State Contractor's License No. and Class: 3 b'6 292 <br />License Expiration Date: 7 - 31- �2 2 <br />State Dept. of Industrial Relations (DIR) Q <br />Registration No.:©Q lJll�� <br />State Dept. of Industrial Relations (DIR) <br />Registration Expiration Date: <br />Signed: <br />Title: <br />P-4 of P-16 <br />