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<br /> <br />APPENDIX B <br />Cabling Services Proposal Form <br />Telecommunication Services <br />City of Santa Ana <br />20 Civic Center Plaza, M-77 <br />Santa Ana, CA 92701 <br /> <br />Contractor <br />Address <br />Contact Point Name <br />Phone <br />Email <br />Proposal Submitted <br /> <br />Services to be performed: <br />(1) Under Agreement Number _ between City of Santa Ana (the City) and (the Contractor). <br />(2) In accordance with City of Santa Ana ''Technical Standards And Operating Procedures For Cabling Services" <br /> <br />I Statement of Work I Specifications <br /> <br />Tasking <br /> <br />City TSR # <br />Other 0 Written Request (via letter, fax or email) <br />o Verbal Request (via in person or telecom) <br />City contact: <br />Date received: <br /> <br />City Change Notice # <br />Any increase to the scope of work described herein must have <br />the prior approval of the City's Telecommunications Coordinator <br />or delegated representative in the form of a signed Vendor- <br />provided Change Order form. <br /> <br />Locations <br /> <br />Cabling Services are to be performed at the following locations: <br />Building Address <br /> <br />Job Walk <br /> <br />Was a Job Walk conducted? 0 No <br />o Ves If so: <br /> <br />Contractor's Staff Attending <br /> <br />Telecom Staff Attending <br /> <br />Summary of work: <br /> <br />-~-'-"-"'Y I <br /> <br />I Proposed Work Plan <br />Work to be performed <br /> <br />Page 23 of 35 <br />