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RE -ADVERTISEMENT <br />Appendix <br />ATTACHMENT 3-4: CONTRACTOR'S LICENSING AND REGISTRATION <br />STATEMENT <br />CONTRACTOR'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 Department of Industrial Relations (DIR), and that <br />the following is true and correct. <br />Contractor's Name: CROSSTOWN ELECTRICAL & DATA, INC. <br />Business Address: 5454 DIAZ STREET IRWINDALE CA 91706 <br />Business E-Mail Address: DAVE@CROSSTOWNDATA.COM <br />Telephone: (626) 813-6693 <br />State Contractor's License No. and Class: 756309 , CLASS A & 0-10 <br />License Expiration Date: 11 /30/22 <br />State Dept. of Industrial Relations (DIR) <br />Registration No.: <br />State Dept. of Industri Re7ons (DIR) <br />Registration Expira n Date: <br />Signed: <br />Title: <br />PRESIDENT <br />1000000155 <br />City of Santa Ana RFP 21-095 <br />Page A3-5 <br />