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CITY OF SANTA ANA <br />PROJECT NO. 09- 1752 -C: BRISTOL - WARNER INTERSECTION WIDENING <br />PROJECT NO. 11 -6407: SA -4 VAULT RELOCATION <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: HILLCREST CONTRACTING, INC. <br />Business Address: 1467 CIRCLE CITY DR. CORONA, CA 92879 <br />Telephone: 951- 273 -9600 <br />State Contractor's License No. and <br />Class: 471664 A HAZ <br />Expiration <br />Date: 4/30/201 1 <br />Signed: � � <br />Title: PRESIDE T <br />BP 15 of 15 <br />GLENN J. SALSBURY <br />