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20B - AA - SANTIAGO BIKE TRAIL
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20B - AA - SANTIAGO BIKE TRAIL
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Last modified
11/10/2016 3:48:13 PM
Creation date
11/10/2016 3:42:49 PM
Metadata
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
20B
Date
11/15/2016
Destruction Year
2021
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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 16-2667 <br />SANTIAGO BIKE TRAIL RESURFACING <br />CONTRACTOR'S LICENSING AND ATIONSTATI�UaNT <br />TATI�il <br />The undersigned contractor, or corporate officer, declares under penalty of perjury that he/she <br />and all his/her subcontractors aro registered with the State of California Department of Industrial <br />Relations (DIR), and that the following is true and correct. <br />Contractor's Name: NPG, Inc. <br />Business Address: PO Box 1515, Perris, CA 92572 <br />Business E -Mail Address: cstone@npgasphalt.com <br />Telephone: (951) 940-0200 <br />State Contractor's License No, and Class: A, B, C-12; 664779 <br />License Expiration Date; 2/28/17 <br />State Dept, of Industrial Relations (DIR) <br />Reg stration No.: 1000002457 <br />State Dept, o£ Industria a tions (DIR) 6/30/17 <br />k�egistration Expiration at ; <br />Signed: <br />Title: Jel'f'Nelson, President <br />P-5 of P-17 <br />20B-12 <br />
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