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Lltl —VJ4-1 77V1 l_i_• _,J 'I'I r.!JI'I KCCL J I 1=_71-1C1117 Ll +J 1 M. i I I`4 _� ui . —moi, — -- <br /> PUBLIC HEALTH SMICES <br /> _tOgRD Of TRUSTEES San loaquln Cbunty SERVIN <br /> !1R1ee Cuthoneon, firs&, P. O. pox 2009 Clly 0(La <br /> f-etrlcl* E, v+nnuccl, 80c'y. 11601 8agt Hxze lion Avenue 1 Sen JOrquln Coun <br /> To.rmy Jaycn Cllr of Ee�eic <br /> Ex!( Pimentel StoCktonr Califdre�S l� 95203 Clly o1 1,Iansk. <br /> Fern BuQbes 209� 156-8781 city of alpr <br /> Denlel t,. Ffore� Clly()1 Slockl <br /> John c <br /> 0. Meal, M,o, C11r of Yr <br /> William J, Wade Goal Khanna, M,p„ M.P.H., Dlelrtcl Health OtItcer San Joaqu(n Coun <br /> Wetly Anne Love San Josquln Coun <br /> RE: CALIFORNIA-LICENSED CONTRACTOR QUESTIONNAIRE <br /> In order to Comply with State and Local !laws relative to contractor licensing and <br /> Workman' s Compensation Insurance requirements , we are asking that you provide this <br /> District with the information requested below, Please answer all of the questions <br /> and rP-,turn the original of this letter in the self-addressed envelope provided, <br /> Re: ARCO Flacility No. 6020 <br /> 1717 E. Yosemite Ave. <br /> Manteca, CA Roo 1,, Vul inuti , Ili rQ0.UV <br /> lsnvi rfJnnitmi.ttI 11ca1 01 1)1vf.qion <br /> SU5INESS NAME Reed Stephens Construction,' Inc. <br /> BUSINESS ADDRESS P,O. Box 1718 CITY Modesto ZIP 95353 <br /> BUSINESS TELEPHON<r NUmDERS ( 1 ) (209) 524-1013 (2) <br /> OWNER(S) ( 1 ) Reed 6t.ephens (� — <br /> OWNFR(SI ADDRESSES ( 1 ) 903 Yansas Ave, ModestT2 <br /> OWNER(S) PHONE NOS ( 1 ) (209) 524-1013 (2) y <br /> CA, , CONTRACTOR LICENSE NO, 563478 ISSUE DATE 10-2-84 CXP, DATE 10-31-92 <br /> LICENSE CLASSIFICATION (A,a ,C) IF "C" INDICATE S1'MALITY rlOS , <br /> IF %-61" CLASSIFICATION, INDICATE TYPI/S Of LIMITED S111.0A1. IlYl1CS. <br /> ARE T11E ,LiCENSFS LISTED AQOVE CURRENTLY ACTIVE AND IN GOOD STANDING? YES x 110 <br /> IF YOU ARE SUBJECT TO WORKMAN'S COHPENSATION LAWS OP CALIFORNIA, 00 YOU CARRY <br /> WORKMAN'S COMPENSATION INSURANCE? YES 'x NO <br /> the are filin <br /> A CERTIFICATE OF INSURANCE WITH THIS DISTRICT? YES x NO.. � <br /> IF YES, EXP CRAT ION DATE 1_191 <br /> SIGNATURE <br /> TITLE President <br /> , {)ATE December 4, 1990 <br /> FP��1 13CE I I-AL I F 0PE R. 12/04/90 09: 53 P, I TOTAL P . I <br />