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<br />Mounds View <br />Request for Proposals Residential Solid Waste and Recycling Services <br /> Page F-1 <br />MU210\313\945437.v5 <br />Form C <br />Proposer Questionnaire <br /> <br />Instructions: Use this form and attach additional pages as necessary to respond to each of the following <br />questions. <br /> <br />GENERAL CONTACT INFORMATION <br /> <br />Name of Company Proposing: <br /> <br />Name of Parent Company (if applicable): <br /> <br />Address: <br /> <br />Telephone: <br /> <br />Email: <br /> <br />Website: <br /> <br />Name of Contact Person: <br /> <br />Title: <br /> <br />Authorized Signature: <br /> <br />Date: <br /> <br />REFERENCES <br /> <br />On separate page(s), provide a minimum of three collection references for current or past government <br />agency customers (cities, counties, school districts, housing authorities, etc.). References should include <br />municipality, capacity (total number of households served), contract structure between the organization and <br />the municipality or public agency being serviced, type and frequency of service provided, etc. <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />