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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 16-6871 <br />SAFE ROUTES TO SCHOOL ENHACEMENTS FOR KING ELEMENTARY <br />STATE PROJECT NO: ATPL- 5063(160) <br />CON"TRACTOWS LICENSING AND REGISTRATION STATEMENT <br />The undersigned contractor. or corporate officer. declares under penalty of perjury that helshe <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: California Professional Engineering Inc. _ <br />Business Address: 929 Otterbein Ave Unit E La Puente CA 91748 _ __ <br />Business E -Mail Address: va @cpm <br />Telephone: i2si X10' L ice_ _ <br />State Contractor's License No. and Class: 79 907 A _Q -I 0 C-20 <br />License Expiration Date: 04/30/2017 <br />State Dept. of Industrial Relations (DIR) <br />Registration No.: 1000001980 <br />State Dept. of Industrial Relations IR) <br />Registration Expiration Date: <br />Signed: <br />Title: President <br />P-5 of P-17 <br />23A-18 <br />