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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 22-6987 <br />GRAND AVENUE REHABILITATION <br />FROM WARNER AVENUE TO EDINGER AVENUE <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: PO Box 2229, Corona, CA 92878 <br />Business E-Mail Address: publicworks@allamericanasphalt.com <br />Telephone: 951-736-7600 <br />State Contractor's License No. and Class: 267073 Class A <br />License Expiration Date: 01/31/2024 <br />State Dept. of Industrial Relations (DIR) <br />Registration No.: 1000001051 <br />State Dept. of Industrial Relations (DIR) <br />Registration Expiration Date: 06/30/2026 <br />Signed: <br />Title: Edward J. Carlson, Vice President <br />P-11 of P-23 <br />