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APPENDIX B <br />Cabling Services Proposal Form <br />Telecommunication Services <br />~, ; City of Santa Ana <br />20 Civic Center Plaza, M-77 <br />~a Santa Ana, CA 92701 <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 Cily of Santa Ana "Technical Standards And Operating Procedures For Cabling Services" <br />Statement of Work I S ecifications <br />Tasking <br />City TSR # City Change Notice # <br />Other ^ Written Request (via letter, fax or email) Any increase [o the scope of work described herein must have <br />^ Verbal Request (via in person or telecom) the prior approval of the City's Telecommunications Coordinator <br />or tlelegated representative in the form of a signetl Vendor- <br />Cify COntaCt: provided Change Order Form. <br />Date received: <br />Locations <br />Cabling Services are to be performed al the following locations: <br />Building Address <br />Job Walk <br />Was a Job Walk conducted? ^ No Contractor's Staff Attending <br />^ Yes If so: <br />Telecom Staff Attending <br />Summary of work: <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />Pro osed Work Plan <br />Work to be performed <br /> <br /> <br />Page 22 of 34 <br />