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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 16-2655 THORNTON PARK SECURITY LIGHTING PROJECT <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@cpengineeringine.com <br />Telephone: 626 810 1338 <br />State Contractor's License No. and Class: 793907 Class A, C-10, C-20 <br />License Expiration Date: 4/30/2019 <br />State Dept. of Industrial Relations (DIR) <br />Registration No.: 1000001980 <br />State Dept. of Industrial Relations (DIR) <br />Registration Expiration Date: A 6/30/2018 <br />Signed: <br />Title: Van Nguyen, President <br />P-4 of P- t6 <br />