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Attachment D <br />Respondent Questionnaire <br />Instructions <br />Use this form (available in Word format with expandable text fields for your answers) and attach <br />additional pages as necessary to respond to each of the following questions. All Respondents <br />must complete this Questionnaire. If any items are Not Applicable, please mark the Section <br />"N/A". <br />Note: If this is a teaming arrangement, list all team members, providing: organization name, <br />contact person name, address, telephone number, email, website, and contact person. The word <br />"company" as used below includes partnerships, corporations, sole proprietorships, and/or other <br />types of organizations. <br />General Contact Information: <br />Name of Company Proposing: Walters Recycling and Refuse, Inc. <br />Address: 2830 101s1 Ave NE, Blaine, MN 55449 <br />Telephone: <br />Email: <br />Website: <br />Name of contact person: <br />Type of organization: <br />(e.g., corporation, joint venture, partnership, <br />763-210-5020 <br />j effn@waltersrecycling. corn <br />www.waltersrecycling.com <br />Jeff Newsom <br />Corporation <br />Is this a "Team" proposal? ❑ Yes X No <br />If yes, list the name(s) of the other organizations proposing as a part of your Team. (A letter of <br />intent to team should be included from each organization.) <br />N/A <br />2. N/A <br />3. N/A <br />References <br />Provide on separate page(s) Recycling collection service references. Provide at least three (3) <br />municipal references. Include: <br />♦ The name of the municipality or other government agency <br />♦ Dates of service <br />♦ Number of households served <br />♦ Contract structure between the organization and current status <br />RFP for City of Roseville Recycling Services • D-1 <br />RFP for City of Roseville Recycling Services • D3 <br />