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Attachment A <br />IRC -1505B RFQ-CCNA 2022 FINAL <br />Agency/Firm Name: <br />Address: <br />Contact Name: Title: _ <br />E -Mail: Phone: <br />Services Provided: <br />Dates of Service: <br />Agency/Firm Name: <br />Address: <br />Contact Name: <br />E -Mail: <br />Services Provided: <br />Dates of Service: <br />4. Date Registered with e-Verify.gov: <br />Title: _ <br />Phone: <br />Certificate # <br />5. List all ligation cases during the past three (3) years in which the Consultant has been a named party. <br />Use additional sheets, as necessary. <br />Year filed I Case number I Venue I Description <br />Page 12 of 17 <br />