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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 15-7538 <br />SANTA ANA REGIONAL TRANSPORTATION CENTER <br />RESTROOM RENOVATION <br />CONTRACTOR'S ]ICI NSINCi AND REGIS'II2nlTN. S"In4EMENT <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: L�-lassie En >inee ein g & Constru Lion Irrc. <br />Business Address:25rustir� ,.,,Stri Cern *w, Ca.92866 <br />Business E; -Mail Address: klassia) Ian s,a amail.eorn <br />Telephone: (714) 369-839 <br />State Contractor's License No. and Class: A & B <br />License Expiration Date; 2/28/201.9 <br />State Dept. of Industrial Relations (DIR) <br />Registration No.: 1000014420 <br />State Dept. of Industrial Relations <br />Registration Expjration P_aQ .- ' Y" <br />Signed: <br />Title: C.E.O. <br />Pro of P-1 6 <br />