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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 25-6711 <br />CIVIC CENTER REHABILITATION <br />CONTRACTOR'S LICENSING ANDREGISTRATION STATEMENT <br />The undersigned contractor, or corporate officer, declares under penalty of perjury that lie/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: & <br />Business Address: 32 Rancho Circle, Lake Forest, CA 92630 <br />Business E-Mail Address: maiiiuiidsonahardyandliarper.coi-n <br />Telephone: <br />714-444-1815 <br />State Contractor's License No. and Class: 215952 A, C-8 & C 12 <br />License Expiration Date: 12/31/2025 <br />State Dept. of' Industrial Relations (DIR) <br />Registration No.: 1000000076 <br />State Dept. of Industrial Relations (DIR) <br />Registration Expiration Date: 6/30/2025 <br />Signed: <br />Title: Michael Amundson, Vice President <br />City Council P-5 ot F- T1 — 12 3/18/2025 <br />