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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 21-2744 <br />SANTA ANA ZOO GOAT TRAIL <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: G.B. Cooke, Inc. <br />Business Address: 660 S. State College Blvd. Fullerton, CA 92831 <br />Business E-Mail Address: brad@gbcookeinc.com <br />Telephone: (626) 969-8736 <br />State Contractor's License No. and Class: 366159 A & B <br />License Expiration Date: <br />11 /30/2022 <br />State Dept. of Industrial Relations (DIR) <br />Registration No.: _ <br />State Dept. of <br />Registration E) <br />Signed: <br />Title: <br />I <br />1000013328 <br />(DIR) <br />06/30/2022 <br />President, Secretary, Treasurer & Manager <br />Bradlev G. Cooke <br />P-9 of P-22 <br />