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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 16-6871 <br />SAFE ROUTES TO SCHOOL ENHACEMENTS FOR ICING ELEMENTARY <br />STATE PROJECT NO: ATFL- 5063( 160) <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: 929 Otterbein Ave Unit E La Puente CA 91748 <br />Business E -Mail Address: van cpengineeringinc com <br />Telephone: (626) 810-"13_3B T. <br />State Contractor's License No. and Class: 793907 A C -1Q 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 Data: <br />Signed: <br />Title: President <br />P-5 of P-17 <br />