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City of Santa Ana, PWA <br />RFP - Closed Circuit Television (CCTV) Inspection of Sanitary Sewer Mains <br />List and describe fully the contracts performed by your firm which demonstrate your ability to <br />provide the supplies, equipment or services included in the scope of the proposal specifications. <br />Attach additional pages if required. The City reserves the right to contact each of the <br />references listed for additional information regarding your firm's qualifications. <br />Reference <br />Customer Name: <br />Address: <br />Contract Amount: <br />Description of supplies, equipment, or services provided: <br />Reference <br />Customer Name: <br />Address: <br />Contract Amount: <br />Description of supplies, equipment, or services provided: <br />Reference <br />Customer Name: <br />Address: <br />Contract Amount: <br />Description of supplies, equipment, or services provided: <br />Contact Individual: <br />Phone Number: <br />Facsimile Number: <br />Year: <br />Contact Individual: <br />Phone Number: <br />Facsimile Number: <br />Year: <br />Contact Individual: <br />Phone Number: <br />Facsimile Number: <br />Year: <br />THIS FORM MUST BE COMPLETED AND INCLUDED WITH THE PROPOSAL. PROPOSALS <br />THAT DO NOT CONTAIN THIS FORM WILL BE CONSIDERED NONRESPONSIVE <br />32 <br />19C-34