C04. J10_KeyPersonnel-DesgofReps, 202604.pdf

KEY PERSONNEL

Designation of Representatives

Solicitation/Contract No. Project Title.

Contractor Name. UEI No.

1. KEY PERSONNEL IDENTIFICATION

In accordance with the solicitation/contract, the following individuals are designated as key personnel for this contract. Personnel may hold multiple roles.

1.1 Contractor Representative (Required at IDIQ Award)

Primary administrative representative authorized to act on behalf of the company in all contract administration matters.

Name: Phone: Email:

1.2 Project Manager (If applicable)

Responsible for overall project execution and coordination.

Name: Phone: Email:

1.3 Project Foreman / Site Lead (Required at TO Award)

Responsible for onsite supervision and day-to-day performance.

Name: Phone: Email:

1.4 Contractor Quality Control (QC) Inspector (If applicable) Responsible for contractor’s internal quality assurance.

Name: Phone: Email:

1.5 24/7 Emergency Contact Name: Phone (24/7):

KEY PERSONNEL

Designation of Representatives

Solicitation No. Project Title

2. CONTRACTOR INTERNAL DELEGATION OF AUTHORITY

The Contractor Representative identified above is delegated internal authority by the Contractor to take the following actions on behalf of the company (check all that apply):

☐ Acknowledge receipt of Notice to Proceed ☐ Acknowledge Suspend / Resume Work Orders ☐ Sign progress payment estimates and invoices ☐ Sign contract modifications (on behalf of the Contractor) ☐ Sign final payment estimate and release ☐ Execute contract termination settlement agreements ☐ Full internal authority for all contractual matters

Note:

This delegation reflects internal authority within the Contractor’s organization. Nothing in this form authorizes contractor personnel to bind the Government.

3. REQUIRED CONTRACTOR ACKNOWLEDGMENTS

3.1 Substitution of Key Personnel

Contractor acknowledges the requirements of IDIQ Section H.5(b)-(c) regarding substitutions, including:

• No substitutions during the first 90 days without CO approval

• Written justification required

• Replacement personnel must possess necessary qualifications

3.2 Availability

All personnel listed will be available for contract/TO performance.

3.3 No Authority to Bind the Government

Contractor personnel cannot modify contract terms, direct changes, or obligate the Government in any manner.

Company Name:

Authorized Representative Name:

Authorized Representative Title:

Signature:

Date: