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BID TITLE: BID 19 -17 -12 -HR BID NUMBER: ROOFING MAINTENANCE & REPAIRS SCHEDULE "D" (Continued) REFERENCES: List all pertinent government agencies and private firm(s) with whom you have done business within the past three (3) years: Agency/Firm Name: Agency/Firm Name: Address: Address: City/State/Zip Code: City/State/Zip Code: Phone: Phone: Fax: Fax: Contact: Contact: E -Mail: E -Mail: Agency/Firm Name: Agency/Firm Name: Address: Address: City/State/Zip Code: City/State/Zip Code: Phone: Phone: Fax: Fax: Contact: Contact: E -Mail: E -Mail: Agency/Firm Name: Agency/Firm Name: Address: Address: City/State/Zip Code: City/State/Zip Code: Phone: Phone: Fax: Fax: Contact: Contact: E -Mail: E -Mail: YOUR COMPANY NAME ADDRESS PHONE: FAX: EMAIL: Revised 6/27/18 Page 75