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CITY OF SANTA ANA <br />• PROPOSAL NO. 10-7504 <br />PROPOSAL AND CONTRACT AGREEMENT <br />CONTRACTOR'S LICENSING STATEMENT <br />The undersigned contractor, or corporate officer, declares under penalty of perjury that the following is <br />true and correct. <br />Contractor's Name: (~.~ L1 ~`i~Z ~~c~ 11~~ l:U ~'~-~ ~1, ~ ~~ <br />Business Address: ~3 ~. ~If~V Nit , ~f~T~~ ~~~ ~ C~ ~2~1 pG] <br />Telephone: ~~~. ~~Q. u~~tl- <br />State Contractor's License No. and <br />Class: (fjCj~~,Q (j2 ~ ~ C~2 <br />Expiration <br />Date: <br />Signed: <br />Title: <br /> <br />TO BE INCLUDED IN BID PACKAGE <br />BP 13 of 31 <br /> <br />