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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 22-6995 <br />BRISTOL ST AND SANTA CLARA AVE TRAFFIC SIGNAL MODIFICATION <br />FEDERAL PROJECT NO.: HSIPL 5063(204) <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: Elecnor Belco Electric. Inc. <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: 6/30/2023 <br />Signed: <br />Title: Vi <br />,John W <br />City Council 2 — 13 3/7/2023 <br />