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CITY OF SANTA ANA <br /> • PROJECT NO. OS-3195 West Pump Station Facilities Upgrades <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 <br /> is true and correct. <br /> Contractor's Name: F.T. ZIEBARTH COMPANY <br /> Business Address: 920 EAST WALNUT AVENUE FULLERTON CA 92831 <br /> Telephone: (714) 992-5151 <br /> State Contractor's <br /> License No. & <br /> Class: 262466 CLASS "A" <br /> Expiration Date: 02/28/2012 <br /> • _ _ <br /> Signed: _ - <br /> Title: R.P. ZIEBARTH, PRESIDENT <br /> <br /> • TO BE INCLUDED IN BID PACKAGE <br /> BP 13 OF 26 <br /> ~'I <br /> <br />