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CITY OF SANTA ANA <br />PROJECT NO. 14-6812: LOCAL STREET SLURRY SEAL 2013-14 <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: <br />Business Address: <br />Telephone: 9CI— <br />State Contractor's License No. and <br />Class: itc&o707Y C^la <br />Expiratic <br />Date: <br />Signed: <br />Title: <br />TO BE INCLUDED IN BID PACKAGE <br />BP 14 of 14 <br />