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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 per ury 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 rz CROSSTOWNDATA.COM <br />Telephone: (626) 813-6693 <br />State Contractor's License No. and Class: 756309, CLASS A & C-10 <br />License Expiration. Date: 11 /30/22 <br />State Dept, of Industrial Relations (DIR.) <br />Registration No.: 1000000155 <br />State Dept, of lndustri Rdaa ions (DIR) <br />Registration Expira ' n Date:,/ <br />Title: PRESIDENT <br />City of Santa Ana RFP 21-095 <br />Page A3-5 <br />