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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.20-7530 <br />JEROME PARTS BALLFIELD LIGHTING (WEST FIELD) <br />CONTRACTOR'S LICEASING AND REGISTRATION STATEMENT <br />The undersigned contractor, or corporate officer, declares under penalty of perjury that he/she <br />and all his/her subcontractors are registered with the State of California Department of Industrial <br />Relations (DIR), and that the following is true and correct. <br />Contractor's Name: Servitek Electric, Inc. <br />Business Address: 385 S Lemon Ave. #243 Walnut CA 91789 <br />Business F.-Mail Address: info@servitekelectric.com <br />Telephone: 626-227-1650 <br />State Contractor's License No. and Class: 1035350, C-10 <br />License Expiration Date: 01/31/2022 <br />State Dept. of Industrial Relations (DIR) <br />Registration No.: 1000058315 <br />State Dept. of Industrial Relations (DIR) <br />Registration Expiration_L)4e: 6/30/2022 <br />Signed: <br />Title: Geoff Reyes, President/Secretary/Treasurer <br />City Council <br />11 — 18 <br />P-4 of P-17 <br />5/18/2021 <br />