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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO. 14.6799: New Traffic Signal on Newhope St and Camille St <br />PROJECT NO. 14-6809: Traffic Signal Modiflcatlon on Segerstrom Ave and Bear St <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: PTM General Engineering Services, Inc. <br />Business Address: 5942 Acorn St. Riverside CA 92504 <br />Business E -Mail <br />Address: elizabeth@ptm-eng.com; brion@ptm-eng.com <br />Telephone: 951.710.1000 <br />State Contractor's License No. and Class: 891265 Class A; <br />License <br />Expiration Date: 02.28.2017 <br />State Dept, of Industrial Relations (DIR) 000001433 <br />Registration No.: <br />State Dept. of Ind <br />Registration �xoir`t <br />Signed: <br />I Relations (DIR) <br />06.30.2016 <br />Title: Elizabeth H. Mendoza de McRae, President/CFO <br />BP -6 <br />