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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 18-6918 <br />MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION <br />FEDERAL PROJECT NO: HSIPL 5063 (189) <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: Elecnor Belco Electric <br />Business Address: 14320 Albers Way, Chino, CA 91710 <br />Business E-Mail Address: Jwong@elecnor.com <br />Telephone: 909-993-5470 <br />State Contractor's License No. and Class: 738518 A, B, C-10 <br />License Expiration Date: 7/31/2023 <br />State Dept. of Industrial Relations (DIR) <br />Registration No.: 1000004804 <br />State Dept. of Industrial Relations (DIR) <br />Registration Expiration Date: 6130/22 <br />Signed: <br />Title: <br />P-5 of P-52 <br />