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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.; 10.6719 <br />TRAFFIC SIGNAL EQUIPMENT REPLACEMENT PHASE 11- BIKE TRAIL TRAFFIC <br />SIGNAL UPGRADES <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 (DIA), and that the following is true and correct, <br />Contractor's Name; _ Cailfarnie Professional Engineering, Inc. <br />Business Address: 929 Otterbeln Ave Unit E La Puente CA 91748 <br />Business E -Mail Address: Van@cpeng1neer1ng1m,00m <br />Telephone: 826-810-1338 <br />State Contractor's License No. and Class: 793907, A, C10, 020 <br />License Expiration Date; 04130/2017 <br />State Dept, of Industrial Relations (DIR) <br />Registration No.: 1000001980 <br />Stale Dept, of Industrial Relations (DIR) <br />Registration Expiration Date: 05/30/40 5 <br />Signed: <br />Title: ' President <br />P-4 of P-16 <br />