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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO. 14-7540 <br />EL SALVADOR PARK IMPROVEMENTS joll <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: C® I �}C • _ ____ <br />Business Address:_ 4), Aog e 6.46'41Al^Cf, rl4cJu 0 <br />Business E -Mail / <br />Address: Cl CP_ (v( (co Cts Wn <br />Telephone: <br />State Contractor's License No. and Class: g q7 qo % A , -s, C,27 <br />License <br />Expiration Date: <br />State Dept. of Industrial Relations (DIR) <br />Registration No.:wo 01 T �t�_,_,-......,_._.. <br />State Dept. of Industrial Relations (DIR) <br />Registration Expiration Date: of, p 15 <br />Signed: `a <br />Title: () C9& <br />BP -5 of 17 <br />