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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 15-6848 <br />BISHOP-PACIFIC-SHELTON BIKE BLVDS <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: KL? lUr. DUA OXEL PAS COMPOW <br />r Al LEIVUH MIENUE <br />Business Address: LVID SEAM CA <br />Business E -Mail Address: <br />Telephone: 15531556-5641 <br />State Contractor's License No. and Class: STATE HG. 88R6ja-pth ,n . o . o, <br />License Expiration Date: ej i-;�, 110 1 6 <br />State Dept. of Industrial Relations (DIR) <br />Registration No.: QOUW 5131 <br />State Dept. of Industrial Relations (DIR) <br />Registration Expiration Date: <br />Signed: <br />Title: G. Pe 13Raml, pamsEm <br />P-6 of P-18 <br />