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CITY OF SANTA ANA <br />RFP NO.: 24-003 <br />CLOSED CIRCUIT TELEVISION (CCTV) INSPECTION OF SANITARY SEWERS <br />Reference <br />Jurupa Community Services District <br />Asish Marwah <br />Customer Name:___________________________ <br />Contact Individual: ____________________________ <br />202 <br />11201 Harrel Street951-685-7434 x 147 <br />Address: _________________________________Phone Number: ______________________________ <br />1 <br />0 <br />202 <br />Mira Loma, CA 91752 <br />________________________________Facsimile Number: ____________________________ <br />3 <br />Contract Amount: <br />Year: <br />__ <br />_____ <br />_ <br />_ <br />_ <br />Provided a complete sanitary sytem evaluation consisting of hydro-wash and CCTV iinspection of 2,062,113 LF through two cities <br />___ <br />_ <br />_____________________________ <br />over 5 seperate contract tasks. <br />_ <br />_ <br />_ <br />_ <br />THIS FORM MUST BE COMPLETED AND INCLUDED WITH THE PROPOSAL. <br />_ <br />PROPOSALS THAT DO NOT CONTAIN THIS FORM WILL BE CONSIDERED NONRESPONSIVE.________________ <br />Description of supplies, equipment, or services provided: <br />City of Santa Ana RFP 24-003 <br />Closed Circuit Television (CCTV) Inspection of Sanitary Sewers <br />10b <br />Page 25 <br /> <br />