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0 '',�,� ATTACHMENT B <br /> BIDDER'S STATEMENT AND <br /> COMPANY INFORMATION <br /> A. COMPANY INFORMATION <br /> Company Full Legal Name: Elegant Construction Inc <br /> Business Address: 15375 Barranca Parkway Suite J-103 Irvine, CA 92618 <br /> Southern California Address: (if different) <br /> Website Address: www.ElegantCon.com <br /> Length of time firm has been in business: 6 Years <br /> Type of business: S Corporation If incorporated, California <br /> (LLC, Partnership, or Corporation) State of <br /> Incorporation: <br /> LOCAL VENDOR PREFERENCE <br /> Please check the applicable category below. City of Santa Ana Business License <br /> Number: <br /> ❑"Small' Santa Ana Business (7% preference) <br /> ❑"Small' Orange County Business (4% preference) <br /> ❑ Other Santa Ana Business (1% preference) Orange County City: Irvine <br /> ❑✓ None Apply Business License No: 210003025 <br /> PUBLIC WORK CONTRACTOR INFORMATION (IF APPLICABLE) <br /> CSLB Number(s): 1053447 DIR Registration Number: <br /> Contractor's License Classifi cation(s): <br /> A, B, C8, C12, C13, C36, C54 1000406720 <br /> PROJECT MANAGER CONTACT INFORMATION <br /> Name: Sam Alhakim Phone:949-630-6029 Email: sam@elegantcon.com <br /> CONTRACT ADMINISTRATOR CONTACT INFORMATION <br /> (insurance and other administrative questions) <br /> Name: Hazem Almassry Phone: 949-771-5136 Email info@elegantcon.com <br /> BIDDERS STATEMENT: <br /> With my signature I confirm that I 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 deliver all goods to the City in accordance with said terms and conditions. <br /> N Vice president / CFO <br /> Signature Title <br /> Attachment B City of Santa Ana/Purchasing Page 1 of 2 <br />