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CITY OF SANTA ANA <br />PROPOSAL, <br />PRO.IEiCT NO.: 16-6872 <br />SAFE ROUTES TO SCI IO01., ENHANCEMENTS FOR WASHINGTON ELEMENTARY <br />STATE PROJECT NO: ATPL- 5063(16 1) <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: California Professional Engineering Inc <br />Business Address: gzg pttPr6ain Avp nit F a Puy nfe Ca 81748__,_ <br />Business E -Mail Address: van .cpeuineerinclinc.com <br />Telephone: (626) 810-1338 <br />State Contractor's License No. and Class: 793907 , A , C-10 <br />License Expiration Date: 04/30/2017 <br />State Dept. of Industrial Relations (DIR) <br />Registration No.: <br />State Dept. of Industrial Relatioi s�(DIR). <br />Registration Expiration Dafe:� <br />Signed: <br />Title: President <br />/lei/ •i/ <br />P-5 of P-17 <br />23C-20 <br />