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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 16-6870 <br />SAFE ROUTES TO SCHOOL ENHANCEMENTS FOR HENINGER ELEMENTARY <br />STATE PROJECT NO: ATPL- 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 Professional Engineering, Inc <br />Business Address: 929 Otterbein Ave Unit E La Puente CA 91748 <br />Business E -Mail Address: van(@cpengineer1ngine.com <br />Telephone: g10-1338 <br />State Contractor's License No, and Class: 793907 A, C-10 <br />License Expiration Date: 0A�017 <br />State Dept. of Industrial Relations (DIR) <br />Registration No,: 1000001980 <br />State Dept. of Industrial Relatio (DIR) <br />Registration Expiration Date: *\ 6/30/2017 <br />Signed: <br />Title: President <br />P-5 of P-17 <br />