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PROD. NO. '136784, 126776 <br />ADDENDUM NO, TWO <br />CITY OF SANTA ANA <br />PROJECT NO. 13 -67 84, 12 -6776 MCFADDEN REHABILITATION WEST CITY LIMIT TO <br />N'EW }MOPE <br />PROPOSAL AND CONTRACT AGREEMENT <br />CONT'RACTOR'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: <br />Business Address: <br />,rclephoac: 9S/ - -7 fee - 76 co <br />State Contractor's License No. and <br />Class: 4,24-7075 [] <br />7 A <br />075 , C' 1 <br />Expiratic <br />Date: <br />Signed: <br />Title: <br />BP 15 of 16 <br />