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licensed in accordance with an act for the registration of Contractors, and with license <br />number:CL #883985, DIR # Expiration:CL 5/31/22,_DIR 6/30/2021 <br />California Rarity Mughannam/ Prresident <br />(Place of Incorporation, if Applicable) (Principal) <br />Kathleen Mughannam/ Treasurer <br />(Principal) <br />(Principal) <br />1rtify (or declare) under penalty of perjury under the la the State of California that the <br />foregoin s true d correct. f/{� <br />By: By: hh 'yti <br />(Signa re) (Sig ture) <br />its:TimnyMu hannam/ President Its: Kathllen Mughannam/ Treasurer <br />Titleation: Chairman, President Title (If Corporation: Secretary, Assistant <br />or Vice President) Secretary, Chief Financial Officer or <br />Assistant Treasurer) <br />NOTE: If Bidder is a corporation, set forth the legal name of the corporation together with the signature of <br />the officer or officers authorized to sign contracts on behalf of the corporation. If Bidder is a <br />partnership, set forth the name of the firm together with the signature of the partner or partners <br />authorized to sign contracts on behalf of the partnership. <br />Business Address: <br />P.O. Box 703 <br />Petaluma, CA 94953 <br />Contractor's Representative(s): Remy Mughannam/ President <br />(Namelritle) <br />Kathleen Mughannam/ Treasurer <br />(Name/Title) <br />(Name/Title) <br />Officers Authorized to Sign Contracts Ramy Mughannam/ President <br />(Name/Title) <br />Kathleen Mughannam/ Treasurer <br />(Name/Title) <br />VERA AVENUE BICYCLE BOULEVARD PROJECr <br />BID FORM 004113-4 <br />