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CITY OF SANTA N <br />PROPOSAL <br />PROJECT NO. , <br />{4&! <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: <br />Business Address: <br />Business E -Mail <br />Address: <br />Green Giant Landscape, Inc. <br />Telephone: 5 iF 0 rQ ° (r)-08 <br />state Contractor's License No. and Class: (P IU_2 A i - <br />License <br />Expiration Date:3' y <br />State Dept. of Industrial Relations (DIR) �� f�� <br />Registration No.: J <br />al Relations (DIR) <br />Date: [ <br />Signed: `�°, l�lr i 3 n.� �e✓"� <br />Title: Pre <br />23B -16 <br />