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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 24-6053 <br />SANTA ANA FIRE STATION 74 FUEL STATION REPLACEMENT <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: GEMS Environmental Management Services, Inc. <br />Business Address: 1120 Willow Pass Court, Concord, CA 94520 <br />Business E-Mail Address: gemsinc@gemsenvironmental.com <br />Telephone: (925) 671-6822 <br />State Contractor's License No. and Class: 864458 A - Haz <br />License Expiration Date: 9/30/2027 <br />State Dept. of Industrial Relations (DIR) <br />Registration No.: 1000001924 <br />State Dept. of Industrial Relations (DIR) <br />Registration Expiration Date: q — 6/30/2027 <br />Signed: <br />Title: President <br />P-5 of P-19 <br />