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*Request for Information <br />To expedite service, please complete the following blanks relevant to your agency's administrative/elective <br />personnel and return the completed for to H -GAC, Cooperative Purchasing Program, <br />P.O. Box 22777, Houston, TX 77227-2777, <br />Name of End User Agency: City of Little Canada <br />(Municipality/County/District/etc.) <br />Mailing Address: 515 Little Canada Road, E. Little Canada <br />(Street Address/P.O. Box) <br />Main Telephone Number: (651) 766-4029 <br />County Name: Ramsey <br />MN 55117 <br />(City) (State) (ZIP Code) <br />FAX Number: (651) 766-4048 <br />Physical Address: <br />(Street Address, if different from mailing address) (City) (State) (ZIP Code) <br />Web Site Address: ci.little-canada.mn.us <br />Official Contact: Joel R. Hanson <br />(Point of Contact for HGACBuy Interlocal Contract <br />Mailing Address: 515 Little Canada Road, East. <br />(Street Address/P. O. Box) <br />Little Canada MN 55117 <br />(City) (State) (ZIP Code) <br />Authorized Official: <br />Mailing Address: <br />(Mayor/City Manager/Executive Director etc) <br />(Street Address/O.O. Box) <br />(City) (State) (ZIP Code) <br />Official Contact: Sharon Provos <br />(Purchasing Agent/Auditor etc) <br />Mailing Address: 515 Little Canada Road, E. <br />(Street Address/O.O. Box) <br />Little Canada MN 55117 <br />(City) (State) (ZIP Code) <br />Official Contact: Bill Dircks <br />(Patblic Works Director/Police Chief etc.) <br />Mailing Address: 515 Little Canada Road, E. <br />(Street Address/O.O. Box) <br />Little Canada MN 55117 <br />(City) (State) (ZIP Code) <br />Official Contact: Don smiley <br />(EMS Director/Fire Chief etc) <br />Mailing Address: 325 Little Canada Road <br />(Street Address/O.O. Box) <br />Little Canada MN <br />(City) (State) <br />55117 <br />(ZIP Code) <br />Title: City Administrator <br />Ph No.: (651) 766-4040 _ <br />FX No.: (651) 766-4048 _ <br />E -Mail Address: Joel.hanson@ci.little-canada.mn.us <br />Title: <br />Ph No.: <br />Fx No. <br />E -Mail Address: <br />Title: Finance Director <br />Ph No.: (651) 766-4035 _ <br />FX No.: (651) 766-4048 _ <br />E -Mail Address: sharon.provos@ci.little-canada.mn.us <br />Title: Public Works Director <br />Ph No.: (651) 766-4049 _ <br />FX No.: (651) 766-4048 _ <br />E -Mail Address: bill.dircks@ci.little-canada.mn.us <br />Title: Fire Chief <br />Ph No.: (651) 766-4057 _ <br />Fx No. • - <br />E -Mail Address: littlecanadaFD@comcast.net <br />* denotes required fields <br />