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CITY OF SANTA ANA <br />PROJECT 03 -6367: SANTIAGO PARK VERNAL POOL <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 correct. <br />Contractor's Name: � � �C / -F�c�_ �iUS��QrY TjyN �'y <br />Business Address: /� i z� J� �i i ` �� ✓� %icA �" q ZG �� <br />Telephone: � � Q - � �� _ � -� q 2 <br />State Contractor's License No_ and <br />Class: �_� � t � /� � (� <br />Expiration <br />Date: 1 1 — -� O - <br />Signed: ,- <br />Title: �.. _ _ <br />TO BE INCLUDED IN BID PACKAGE <br />BP 12 of 12 <br />