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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 21-2727 <br />CABRILLO PARK IRRIGATION RENOVATION <br />CONTRACTOR'S LICENSING AND REGISTRATION STATEMENT <br />The undersigned contractor, or corporate officer, declares under penalty of perjury that he/she and <br />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: Marina Landscape, Inc. <br />Business Address: 3707 W. Garden Grove Blvd, Orange, CA 92868 <br />Business E-Mail Address: estimator(a-)rnarinaco.com <br />Telephone: 714-939-6600 <br />State Contractor's License No. and Class: 492862 — A.B.C27.C29.C36.C61.D49.D <br />License Expiration Date <br />6/30/2022 <br />State Dept. of Industrial Relations (DIR) <br />Registration No.: <br />State Dept.Virayon <br />ndustrial Relations (DIR) <br />Registration Date: <br />Signed: <br />Hue Ta <br />Title: Vic& President of Estimati <br />1000000079 <br />6/30/2022 <br />City Council 15 — 21 4/5/2022 <br />P-4 of P-17 <br />