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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 16-2651 <br />CIVIC CENTER RFi-CAULKING EXPANSION JOINTS AT PLAZA OF THE FOUNTAINS <br />AND PLAZA OF THE FLAGS <br />CON'fRACT'()R'S LICENSING AND REGISTRATION S'TAT'EMENT <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 />I;a�rr c�al��/sFIGiGori�r . <br />Business E -Mail Address: <br />Telephone: �.�-��� t_/ <br />State Contractor's License No. and Class: <br />License Expiration Date: 0 "� <br />State Dept, of Industrial Relations (DTR) <br />Registration No.: <br />State Dept. of lntlGstrial Relations (DIR) <br />Registration Exphgio te: <br />Signed: <br />Title: <br />P-4 of P- 16 <br />