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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 16-6572 <br />SAFE ROUTES TO SCHOOL ENHANCEMENTS FOR WASHINGTON ELEMENTARY <br />STATE PROJECT NO: ATPL- 5063(16 1) <br />CONTRACTOR'S LICENSING AND REGISTRATION S'fATEMf;N'P <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: ali nia Professional En ing eering Inc—, ----_ <br />Business Address: 92 tt�"rhein A i nit F a Piste3, g1?4$ <br />Business E, Niail Address: van cpengineeringI.Com <br />Telephone: <br />(626) 810-1338 <br />State Contractor's l-icense 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 Re. <br />Registration Expiration Date: <br />Signed: <br />[Ii74I4ZI1 IGI;�11 <br />'title: President V <br />P-5 of P-17 <br />