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CITY OF SANTA ANA <br />PR 106708. 106709. 106710 8z 106711 <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: ?Q? ?gl1??QJY1 , ` <br />Business Address: ?,??p??????? ?Ve U'(l1?"'?, ?1 Q?1?C? e? ? ??`?`?? <br />Telephone: ?cQ,?e? p lO ' ??J? ? ' <br />State Contractor's License No. and <br />Class: ? 3Rb Pr C- ?? <br />Expiration <br />Date: ? y <br />Signed: <br />Title: ? (???? <br />TO BE INCLUDED IN BID PACKAGE <br />BP 15 of 15