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Agenda Packet_2022-02-01
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Agenda Packet_2022-02-01
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1/28/2022 11:32:04 AM
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1/28/2022 11:12:07 AM
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City Clerk
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Agenda Packet
Date
2/1/2022
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Appendix <br />ATTACHMENT 3-4: CONTRACTOR'S LICENSING AND REGISTRATION <br />STATEMENT <br />CONTRACTOR'S LICENSING AND REGISTRATION STATEMENT <br />The undersigned contractor, or corporate officer, declares under penalty of perury 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: California Barricade Inc. <br />Business Address: 1550 East Saint Gertrude Place Santa Ana, CA 92705 <br />Business E-Mail Address: kellie@califomiabarricade.com <br />Telephone: (714) 558-8474 (800) 327-8844 <br />State Contractor's License No. and Class: 785733-C31 <br />License Expiration Date: <br />10/31 /2022 <br />State Dept. of Industrial Relations (DIR) <br />Registration No.: 1000017487 <br />State Dept. of Industrial Relations (DIR) <br />Registration Expiration Date: 06/30/2022 <br />r Y. <br />Signed: L i �'t'Gt � "i. Kellie Hurst <br />Title: <br />Vice President <br />Gity of Santa 28 <br />City Council Page AA 3 — 90 2/1 /2022 <br />
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