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AAppenBis ' <br />CHi1ivT`4 ' <br />CITYWIDE STREET LIGHT UPGRADE <br />RFP NO.: 17-075 <br />CONTRACTOR'S LICENSING 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: Siemens Industry, Inc Intelligent Traffic Systems <br />Business Address: 9225 Bee Cave Road Building B, Ste 101 Austin, TX 78733 <br />Business E Mail Address: bidadmin.mobilitv(a).siemens.com <br />Telephone: 512-837-8300 <br />State Contractor's License No. and Class: 758796, Class A. B. C10. C1 S. C20 <br />License Expiration Date: 2/28/2019 <br />State Dept, of Industrial Relations (DIR) <br />Registration No.: 1000002447 <br />State Dept. oWalc�io,ns (R) <br />Registration D <br />06/30/2018 <br />Signed: �..� <br />Title: <br />City of Santa Ana RFP 17-075 <br />Page A4-1 <br />55A-391 <br />