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CITY OF SANTA ANA <br />RFQ No. 22-005 State Legislative Advocacy Services Page 24 of 29 <br /> <br /> <br /> <br />List and describe fully the contracts performed by your firm which demonstrate your ability to provide the <br />supplies, equipment or services included in the scope of the statement of qualificationsspecifications. <br />Attach additional pages if required. The City reserves the right to contact each of the references listed <br />for additional information regarding your firm's qualifications. <br /> <br />Reference <br /> <br />Customer Name:___________________________ Contact Individual: ____________________________ <br /> <br />Address: _________________________________ Phone Number: ______________________________ <br /> <br /> ________________________________ Facsimile Number: ____________________________ <br /> <br />Contract Amount: __________________________ Year: ______________________________________ <br /> <br />Description of supplies, equipment, or services provided: <br /> <br />________________________________________________________________________________________ <br /> <br />Reference <br /> <br />Customer Name:___________________________ Contact Individual: ____________________________ <br /> <br />Address: _________________________________ Phone Number: ______________________________ <br /> <br /> ________________________________ Facsimile Number: ____________________________ <br /> <br />Contract Amount: __________________________ Year: ______________________________________ <br /> <br />Description of supplies, equipment, or services provided: <br /> <br />________________________________________________________________________________________ <br /> <br />Reference <br /> <br />Customer Name:___________________________ Contact Individual: ____________________________ <br /> <br />Address: _________________________________ Phone Number: ______________________________ <br /> <br /> ________________________________ Facsimile Number: ____________________________ <br /> <br />Contract Amount: __________________________ Year: ______________________________________ <br /> <br />Description of supplies, equipment, or services provided: <br />________________________________________________________________________________ <br /> <br /> <br />THIS FORM MUST BE COMPLETED AND INCLUDED WITH THE STATEMENT OF QUALIFICATION. <br />STATEMENT OF QUALIFICATIONS THAT DO NOT CONTAIN THIS FORM WILL BE CONSIDERED <br />NONRESPONSIVE. <br />ATTACHMENT A <br /> <br />REFERENCES <br />City Council 22 –29 3/1/2022