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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 15 -6834 <br />TRAFFIC SIGNAL MODIFICATIONS: 17,111 STREET AT ENGLISH STREET, <br />MACARTHUR BOULEVARD AT PLAZA DRIVE, EDINGER AVENUE <br />AT SULLIVAN STREET, WESTMINSTER AVENUE ATCLINTON STREET <br />FEDERAL PROJECT NO: IISIPL 5063(156) <br />CONTRACT'OR'S LICENSING AND REGISTRATION STATEMENT <br />The undersigned contractor, or corporate officer, declares under penalty of perjury that he /she and all his/her <br />subcontractors are registered with the State of California Department of Industrial Relations (DI R), and that <br />the following is true and correct. <br />Contractor's Name: California Professional Engineering, Inc <br />Business Address: 929 Otterbein Ave Unit E, La Puente, CA 91748 <br />Business E -Mail Address: van @cpengineeringinc.com <br />Telephone: 626-810-1338 <br />State Contractor's License No. and Class: <br />License Expiration Date: 04/30/2017 <br />State Dept, of Industrial Relations (DIR) <br />Registration No.: <br />State Dept. of Industrial Relation (DIR) <br />Registration Expiration Date: <br />Signed: <br />Title: President <br />793907, A, C -10, C -20 <br />1000001980 <br />P -6 of P -40 <br />20D -12 <br />