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23A - PROJ - 3RD ST PAVING
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05/17/2016
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23A - PROJ - 3RD ST PAVING
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Last modified
5/12/2016 11:34:28 AM
Creation date
5/13/2016 8:51:11 AM
Metadata
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
23A
Date
5/17/2016
Destruction Year
2021
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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO. 15-6606:3' STREET TRAFFIC CALMING (FA1D# U58DP005861) <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 Industrial <br />Relations (DIR), and that the following is true and correct. <br />Contractor's Name: Wpz <br />Business Address: LOW am m, CA Ms <br />Business E -Mail Address: <br />Telephone: py) 5J8 -5841 <br />State Contractor's License No. and Class: t °'4 „ 600654 �k <br />License Expiration Date: <br />State Dept. of Industrial Relations (DIR) <br />Registration No.: 00 OW 333 <br />State 'Dept. of Industrial Relations (DIR) <br />Registration Expiration Date: Aq U_ _v4 <br />��jj <br />i <br />Signed: a. K1 t,,. „,_„) <br />Title: C, f.1SiJOVIN,P4Il;WENT <br />23�P42 <br />
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