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CITY OF SANTA ANA <br />PROJECT NOS. 11-6743 AND 11-6415 <br />PROPOSAL AND CONTRACT AGREEMENT <br />CONTRACTOR'S LICENSING STATEMENT <br />The undersigned contractor, or corporate officer, declares under penalty of perjury that the <br />following is true and correct. <br />Contractor's Name: C22,±,vxGv &9607r,Mx-'S 6 rr.*w� i.✓c6e r FT.vc. <br />Business Address: 13RN/ 4",g;"4 .ewr,o , .9�%L' ✓,9//Cr✓_Cii. �d3�� <br />Telephone:9La) )f1y - 9,231, <br />State Contractor's License No. and <br />Class: <br />Expiration <br />Date: <br />Signed: <br />Title: <br />TO BE INCLUDED IN BID PACKAGE <br />BP 16 of 17 <br />