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REBID <br /> CITY OF 5 NTA A A <br /> PROPOSAL <br /> PROJECT O.: 11.-6413 <br /> SA-5 VAULT MODIFICATIONS <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 Stage: of California Department of <br /> Industrial Relatia s i(DIR), and that the following Is true and correct. <br /> Contractor's Name: a <br /> Business Address, <br /> Business E- tail <br /> Address: <br /> State Contractor's License No.and lass <br /> License <br /> Expiration [date. _� �P' , <br /> State Dept. of Industrial Relations ( 1 ) <br /> Registration n No-, <br /> State Dept. of Industrial Relations (DIR) <br /> Registration Ear 'ration Date; <br /> Signed, T <br /> Titled Rte,a Ike in <br /> F-5 OF P-I <br /> City Council 23A-114- 18 5/21/2024 <br />