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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 21-6976 <br />FLOWER STREET REHABILITATION FROM MCFADDEN AVENUE TO 1sT STREET <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: All American Asphalt <br />Business Address: 400 East Sixth Street, Corona, CA 92879 <br />Business E-Mail Address: publicworks@aIlame ricanasphalt.corn <br />Telephone: (95 1 ) 736-7600 <br />State Contractor's License No. and Class: 267073 Class A, C-12 <br />License Expiration Date: 1 /31 /2022 <br />State Dept. of Industrial Relations (DIR) <br />Registration No.: 1000001051 <br />State Dept. of Industrial Relations (DIR) 06/30/2023 <br />Registration Expiration Date: <br />Signed: <br />Title: Edward J. Carlson, Vice President <br />P-4 of P-17 <br />