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CITY OF SANTA ANA <br />PROJECT NO. 11-7508; LACY NEIGHBORHOOD SEWER AND WATER MAIN <br />II??ROVEMENTS <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 cont. <br />Contractor's Name: / v ??o t/,? ?irpe /?.?i.an/ <br />Business Address?? ?? ? c Z ?' ??..,J _ p? . ? ?? c? ??y .?- GH <br />Telephone: _???" 4 °r 7? ?? -?) F .e v S ZC i y <br />State Contractor's License No, and <br />class: ?' i 3 3 ? ? _ .?- c -? t- <br />ExpiratiE+*+ <br />Date: <br />Signed: <br />Title: <br />TO BE INCLUDED IN BID PACKAGE <br />BP 15 of 31