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CITY OF SANTA ANA <br />WESTMINSTER AVENUE SEWER MAIN IMPROVEMENTS, PROJECT NO, 12 -6605 <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: ybSkLSI 1 g-, <br />Business Address: � Gj I1 )12 y.RDLk) "yiM �)&w 1N 0 P, LI=, C H <br />Telephone: l (P (0p )_/. &Q — l q q r;z <br />State Contractor's License No. and <br />Class: bL-4 O <br />Expiration <br />Date: N3G i a 0 � 2D <br />Title: �1511k�� fZ� TIDE 17RES1'DF <br />TO BE INCLUDED IN BID PACKAGE <br />BP 14 of 14 <br />