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APPENDIX B <br />Cabling Services Proposal Form <br />Telecommunication Services <br />e <br />City of Santa Ana <br />20 Civic Center Plaza, M -77 <br />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 City of Santa Ana "Technical Standards and Operating Procedures For Cabling Services" <br />Statement of Work / Specifications <br />Tasking <br />City TER # <br />Other <br />• Written Request (via letter, fax or email) <br />• Verbal Request (via in person or telecom) <br />City contact: <br />Date received: <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 <br />Coordinator or delegated representative in the form of a signed <br />Vendor- provided Change Order form. <br />Locations <br />Cabling Services are to be performed at 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 />Proposed Work Plan <br />Work to be performed <br />Page 23 of 36 <br />