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Item 17 - Agreement for Ambulance and Paramedic Billing Collection Services
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Item 17 - Agreement for Ambulance and Paramedic Billing Collection Services
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12/12/2024 11:44:57 AM
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12/11/2024 9:41:45 AM
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City Clerk
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Agenda Packet
Item #
17
Date
12/17/2027
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(9) <br />CITY OF SANTA ANA <br />ATTACHMENT B <br />REFERENCES <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 proposal specifications. Attach additional <br />pages if required. The City reserves the right to contact each of the references listed for additional <br />information regarding your firm's qualifications. <br />REFERENCE <br />Customer Name: Contact Individual: <br />Address: Phone Number: <br />EMAIL: <br />Contract Amount: Year: <br />Description of supplies, equipment, or services provided: <br />REFERENCE <br />Customer Name: <br />Address: <br />Contact Individual: <br />Phone Number: . <br />EMAIL: <br />Contract Amount: Year: <br />Description of supplies, equipment, or services provided: <br />REFERENCE <br />Customer Name: <br />Address: <br />Contact Individual: <br />Phone Number: . <br />EMAIL: <br />Contract Amount: Year: <br />Description of supplies, equipment, or services provided: <br />THIS FORM MUST BE COMPLETED AND INCLUDED WITH THE PROPOSAL. <br />PROPOSALS THAT DO NOT CONTAIN THIS FORM WILL BE CONSIDERED NONRESPONSIVE. <br />City of Santa Ana RFP No. 24-104 Page 30 of 35 <br />
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