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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 20-2500 <br />SANTA ANA LIBRARY CHILDREN'S PATIO <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: RS Construction & Development Inc <br />Business Address: 218 West E Street, Ontario, CA 91762 <br />Business E-Mail Address: info@rscdinc.com <br />Telephone: (909) 920-1144 <br />State Contractor's License No. and Class: 1005429 <br />License Expiration Date: <br />10/31/2021 <br />State Dept. of Industrial Relations (DIR) <br />Registration No.: <br />State Dept. of Industrial Relations (DIR) <br />Registration Expiration Date: <br />Signed: <br />Title: President / Secretary <br />1000053445 <br />6/30/2021 <br />City Council 12 — 13 7/20/2021 <br />P-5 of P-18 <br />