Laserfiche WebLink
CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 16-2651 <br />CIVIC CENTER RE -CAULKING EXPANSION JOINTS AT PLAZA OF THE FOUNTAINS <br />AND PLAZA OF THE FLAGS <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: <br />Business Address: <br />Business E -Mail Address: <br />Telephone: y y%) Z_ % J <br />State Contractor's License No. and Class: 2 5 7 e2:7 :7 A £� <br />License Expiration Date: Ob � 2-m <br />1 <br />State Dept. of Industrial Relations (DIR) <br />Registration No.: <br />State Dept. of <br />Registration E: <br />Signed: <br />Title: <br />P-4 of P-16 <br />