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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 16-6870 <br />SAFE ROUTES TO SCHOOL ENHANCEMENTS FOR HENINGER ELEMENTARY <br />STATE PROJECT NO: ATPL- 5063(159) <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: California Professional Engineering,lnc. <br />Business Address: 929 Otterbein Ave Unit E La Puente CA 91748 <br />Business E -Mail Address: vanP_cpengineeringinc.com <br />Telephone: (626)810-1338 <br />State Contractor's License No. and Class: 793907 A, C-10 <br />License Expiration Date: (14/30/9(117 <br />State Dept. of Industrial Relations (DIR) <br />Registration No.: 1000001980 <br />State Dept. of Industrial Relatio (DIR) <br />Registration Expiration Date: ,\ --06/30/2017 <br />Signed: <br />Title: President <br />P-5 of P-17 <br />