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INFORMATION FOR PLACEMENT ON VENDOR LIST

COMPANY : Jamey Clark, Inc.

ADDRESS: 24100-D El Toro Road #249

Laguna Woods, CA 92637

CONTRACTOR'S LICENSE: #B866453

CERTIFIED PLAYGROUND

SAFTY INSPECTOR LICENSE: #14063-0512

YEARS IN BUSINESS: 28 Years

CONTACT PERSON: James (Jamey) Clark, President

PHONE: (949) 588-9692

E-MAIL safepark@hotmail.com

FAX: (949) 588-9776

INSURANCE INFORMATION: Liability: $2,000,000.00

Worker Comp : State Fund

The Empire Company

Agent: Matt Beltran. Phone (714) 836-9945

License Bond Info : Construction Services

#691 805 Phone (415) 534-2000

TYPE OF BUSINESS: Full Service Property, Park and Playground, Inspection, Maintenance and Repair