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FULL PACKET_2016-12-06
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FULL PACKET_2016-12-06
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12/5/2016 10:25:30 AM
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12/5/2016 9:49:40 AM
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City Clerk
Doc Type
Agenda Packet
Agency
Clerk of the Council
Date
12/6/2016
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CITY Or SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 16 -6870 <br />SAFE ROUTES TO SCHOOL ENHANCEMENTS FOR HENINGER ELEMENTARY <br />STATE PROJECT NO: ATPI 5063(159) <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 ProfessiondJ Epgjlle�CilJgJnc __ <br />Business Address: 929 Otterbein Ave Unit E La Puente CA 91748 <br />Business E -Mail Address: vanna,cpengineeringinc.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.: 1000001980 <br />State Dept, of industrial Relatio (DIR) <br />Registration Expiration Date:\ 1 --� ___..06/30/2017 <br />Signed: <br />Title: President <br />P -5 of P-17 <br />23B -18 <br />
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