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F • <br />' CITY OF SANTA ANA <br />PROJECT NO. 116735: FIRST STREET FROM GRAND AVE. TO I -5 <br />PROPOSAL AND CONTRACT AGREEMENT <br />CONTRACTOR'S LICENSING STATEMENT <br />The undersigned contractor, or corporate officer, declares under penalty of perjury that the <br />following is true and correct. <br />Contractor's Name: �i�lr�lf�,J ��)��I�i`rLS L�a�S7�J� l�E �� Coif <br />Business Address: 61 lt7 W �,�-�yL� ��F �� C. I IA ;Sy�➢Jt��i1 I� CA Q IS i <br />Telephone: 6 1• u 3 fi y <br />State Contractor's License No. and r� <br />Class: <br />Expiration <br />Date: 2-CM <br />Signed: <br />Title: OHM, N1 A �--y3r- <br />BP 14 of 14 <br />