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Last modified
10/27/2016 4:18:36 PM
Creation date
9/24/2015 7:00:42 AM
Metadata
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Template:
Contracts
Company Name
CHRISP COMPANY
Contract #
16-6851
Agency
Public Works
Council Approval Date
9/1/2015
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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO. 16-6851 <br />Newhope, Civic Center and Grand Bike Lanes <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: AeI�� �pyyt SPS <br />Business Address: 3 5-0 (0460o.D EaAD REMz . 6� 3� <br />Business E -Mail <br />Address: Dmo1 NS corn <br />Telephone: 510. 6s6•z�,Na <br />State Contractor's License No. and Class: 3 r% y �,Qd H C/5/ C -3Z <br />License <br />Expiration Date: <br />State Dept. of Industrial Relations (DIR) <br />Registration No.: 1 0000003D b <br />State Dept. of In <br />Signed: <br />al Relations (DIR) <br />Date: <br />Title: V I GE .S I oFat'rx— <br />3Dd�o <br />
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