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CITY OF SANTA ANA <br />PROJECT NO. 12 -6760: TRAFFIC SIGNAL MODIFICATION ON MCFADDEN AVE & LYON ST <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: PTM General Engineering Services Inc. <br />Business Address: 5942 Acorn Street, Riverside, CA 92504 <br />Telephone: 951 - 710 -1000 <br />State Contractor's License No. and <br />Class: 891265, Class A, C10 <br />Expiration <br />Date: <br />Signed: yl,�. ). Elizabeth H. Mendoza de McRae <br />Title: President /CFO <br />CITY OF SANTA ANA <br />TO BE INCLUDED IN BID PACKAGE <br />BP 15 of 27 <br />