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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 15-6833 <br />TRAFFIC SIGNAGE UPGRADE <br />FEDERAL PROJECT NO: HSIPL 5063(157) <br />CONTRACTOR'S LICENSING AND REGISTRATION STATEMENT <br />The undersigned contractor, or corporate officer, declares under penalty of perjury that he/she and all his/her <br />subcontractors are registered with the State of California Department of Industrial Relations (DIR), and that <br />the following is true and correct. <br />Contractor's Name: Myers and Sons Hi -Way Safety,lnc <br />Business Address: 13310 5th Street Chino, CA 91710 <br />Business E -Mail Address: WSD@hiwaysafety.com <br />Telephone: 909-591-1781 <br />State Contractor's License No. and Class: 785683 <br />License Expiration Date:. 10/31/2018 <br />State Dept, of Industrial Relations (DIR) <br />Registration No.: <br />1000005382 <br />State Dept. of Industrial. Relations (DIR) <br />Registration Expiration Date. 6/30/17 <br />Signed: _�:7 _ /'z a <br />Title: MikeRodgers, President <br />P-4 of P-38 <br />Ramos, SEc./treas <br />