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ATTACHMENT B <br />BIDDER'S STATEMENT AND <br />COMPANY INFORMATION <br />A. COMPANY INFORMATION <br />Company Full Legal Name: <br />Pacific International Electric Company Inc. dba Pacific Industrial Electric <br />Business Address: <br />230 N. Orange Avenue, Brea, CA 92821 <br />Southern California Address: (if different) <br />N/A <br />Website Address: <br />Nww.pacificindustrialelectric.com <br />Length of time firm has been in business: <br />50+ <br />Type of business: <br />Corporation <br />If incorporated, <br />California <br />(LLC, Partnership, or Corporation) <br />State of <br />Incorporation: <br />LOCAL VENDOR PREFERENCE <br />Please check the applicable category below. <br />City of Santa Ana Business License <br />Number: <br />❑ "Small" Santa Ana Business (7% preference) <br />196437 <br />❑ "Small" Orange County Business (4% preference) <br />o <br />El Other Santa Ana Business (1 /o preference) <br />Orange County City: Brea <br />® None Apply We are SB-PW. <br />Business License No: 08803202 <br />PUBLIC WORK CONTRACTOR INFORMATION (IF APPLICABLE) <br />CSLB Number(s): <br />DIR Registration Number: <br />655104 <br />1000000512 <br />Contractor's License Class ification(s): <br />C 10, B, A <br />PROJECT MANAGER CONTACT INFORMATION <br />Name: <br />Phone, <br />Email: <br />Chris Michalski <br />714-863-0735 <br />chris@pacificindustrialelectric.com <br />CONTRACT ADMINISTRATOR CONTACT INFORMATION <br />(insurance and other administrative questions) <br />Name: <br />Phone: <br />Email: <br />Gina Tran <br />714-990-9280 <br />gina@pacificindustrialelectric.corn <br />BIDDERS STATEMENT: <br />With my signature I confirm that 1 am authorized to bind the company. By submitting this Bid, I confirm I <br />have read, understand, and accept the terms and conditions of this Invitation for Bid. Upon request, I will <br />transfer and-dVliver all goods to the City in accordance with said terms and conditions. <br />Chief Administrative Officer <br />Title <br />Attachment B City of Santa Ana / Purchasing Page 1 of 2 <br />