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CITY OF SANTA ANA PROJ. NO, 14 -7516 AND 15 -7514 <br />PROPOSAL ADDENDUM NO. ONE <br />PROJECT NO. 14 -7516 AND 15 -7514 MA1tCH IQ 2015 <br />RESIDENTIAL STREET REPAIR FY 13/14 & 14/15 <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. Expiration Date <br />Contractor's Name: PW. INC. DDk EXCEL PAVING <br />Business Address: LUNG BEACH, CA 90806 <br />Business E -Mail <br />Address: <br />Telephone: <br />(562) 699 -5841 <br />)AA . <br />State Contractor's License No. and Class: STAT €. LIC. 6NO59 W <br />License <br />Expiration Date:�i 1�Ila <br />Department of Industrial Relatlon(DIR) <br />Registration No.: 1 WM0?)55 ) <br />Department of Industrial Relation(DIR) 4 <br />Expiration Dater 201 <br />EM <br />Title: C,P, rPgn pl, PRESInlll <br />BP -4 of 15 <br />23A -14 <br />