Laserfiche WebLink
CITY OF SANTA ANA <br />PROJECT NO. 16-6467 <br />SANTA ANA DELHI CHANNEL DIVERSION PROJECT <br />PROPOSAL <br />(ADDENDUM ONE — JULY 22, 2016) <br />CONTRACTOR'S LICENSING AND REGISTRATION STATEMENT <br />The undersigned contractor, or corporate officer, declares under penalty of perjury that <br />he/she and all his/her subcontractors are registered with the State of California <br />Department of Industrial Relations (DIR), and that the following is true and correct. <br />Contractor's <br />Name: L 1= P d G E l ti <_ . <br />Business <br />Address: %0 DO M F- N t (1Z�(t�E� cA22618 <br />Business E -Mail <br />Address: -b (2-$14z- G ISN Etz-OG V_ OC- C�u1 <br />Telephon <br />e: s 3 I O — C7 f301 <br />State Contractor's License No. and p <br />Class: 8 3 �{ 1('Z 4 <br />License Expiration <br />Date: <br />03/31/ 2018 <br />State Dept. of Industrial Relations <br />(DIR) Registration No.: 1 6000® (Soca <br />State Dept. of Industrial Relations <br />(DIR) Registration Expiration Date: <br />Signed <br />Title: <br />o-/ ,3®l2a// <br />�' R� � 01✓ N'� � <br />City of Santa Ana / Project 16-6467 Santa Anal VPV% ani rl Diversion Project / REBID - October 7, 2016 <br />