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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO. 15-6606: 3RD STREET TRAFFIC CALMING (FAID# U58DP005861) <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: <br />Business Address: WNU OFACK rA WM <br />Business E -Mail Address: <br />Telephone: <br />599-5841 <br />State Contractor's License No. and Class: STA4 Uc 690659 *AO <br />License Expiration Date: <br />State Dept. of Industrial Relations (DIR) <br />Registration No.: tOD OW 3 3r3 <br />State Dept. of Industrial Relations (DIR) <br />Registration Expiration Date: <br />Signed: <br />Title: Cale B18 WN, PRE9-0C FNT <br />P-4 of P-18 <br />