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CITY OF SANTA ANA <br />PROPOSAL <br />PROSECT NO.: 15-6833 <br />TRAFFIC SIGNAGE UPGRADE <br />FEDERAL PROJECT NO: HSIPL 5063(157) <br />CON'TRAC'T'OR'S LICENSING AND REGISTRATION STATEMENT <br />The undersigned contractor, or corporate officer, declares under penalty of perjury that he/she and all his/her <br />subcontractors are registered with the State of California Depa rttaMt of Industrial Relations (DIR), and that <br />the following is true and correct. <br />Contractot'sNa111o: Myersand Sons Hi-\ aetylnc <br />Business Address: 13310 5th Street Chino, CA 91710 <br />Business E-MallAddros: LUis6@hiwaysafety.com <br />Telephone: 909-591-1781 <br />State Contractor's License No. and Class: <br />License Expiration Date: <br />10/31/2018 <br />State Dept. of Industrial Relations (DTR) <br />Registration No.: <br />State Dept, of Industrial Relations (DIR) <br />Registration Expiration Date: <br />Signed: <br />Title: <br />President <br />785683 <br />1000005382 <br />6130/17 <br />P-4 of P-38 <br />23A-10 <br />SEc./trews <br />