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CITY OF SANTA ANA <br />PROPOSAL, <br />PROJECT NO.: 16 -2671 <br />BOMO KORAL SIDEWALK RENOVATION <br />CONTRACTOR'S LICENSING AND REGISTRATION STATEMENT <br />The undersigned contractor, or corporate officer, declares tinder 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: Golden State Constructors <br />Business Address: 208 E. Orangethorpe Ave Placentia, Ca <br />Business E -Mail Address: ron@goldensci.com <br />Telephone: <br />714 -625 -8758 <br />State Contractor's License No. and Class: 867060 - A, B, C -8 <br />License Expiration Date: <br />3/31/17 <br />State Dept. of Industrial Relations (DIR) <br />Registration No.: <br />State Dept. of Industrial <br />Registration Expiration I <br />Signed: <br />Title: President <br />1000004019 <br />6/30/2017 <br />2�AL'9 1 <br />