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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO. 14 -7540 <br />El. SALVADOR PARK IMPROVEMENTS <br />CONTRACTOR'S LICENSING and REGISTRATION STATEMENT <br />The undersigned contractor, or corporate officer, declares under penalty of perjury that he /she <br />and all his /her subcontractors are registered with the State of California Department of <br />Industrial Relations (DIR), and that the following is true and correct. <br />Contractor's Name: A 45 CID I rIc • <br />Business Address: I t W. J i9wie ( tf3� ,6vtih "Cf, t 40717'+0 <br />Business E -Mail <br />Address: Ct Cc <br />Telephone: " &�-� () JCi _;t <br />State Contractor's License No. and Class: g tP?qL? 7 A , $, C,2 7 <br />License <br />Expiration Date: ���ZtIa20� <br />State Dept. of Industrial Relations (DIR) <br />Registration No.: <br />State Dept. of Industrial Relations (DIR) <br />Registration Expiration Date: { Of qp (5 <br />Signed: a <br />Title: C>YFl CA& -- <br />BP -5 of 17 <br />23A -18 <br />