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CITY OF SANTA ANA <br />PROJECT 09 -6036: EDNA PARK IMPROVEMENTS <br />PRQPOSAL AND CONTRACT AGREEMENT <br />r <br />CONTRACTOR'S LICENSING STATEMENT <br />The undersigned contractor, or corporate officer, declares under penalty of perjury that the following is <br />true and correct. <br />Contractor's Name: (FN �, , �► •%� —�_•� ���, <br />Business Address: C \ LA \ lf��\ d� C r <br />Telephone: 'j t,,-2-- �n q Q <br />State Contractor's License No. and E <br />Class: �� 0 L-1 <br />Expiration <br />Date: Y� ,, z i_ [� i <br />Signed: c � /./ YTS /��P, - <br />Title: ,n-t- <br />BP 13 of 13 <br />