J.12_DesofReps.doc
DOC document 44 KB Posted
- Attached to
- BRD Toilet Pumping IDIQ 2019 Federal contract opportunity
- Solicitation number
- 1282AT19R0003
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J.12_Designation of Representative (Attachments)
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| File | Type | Posted |
|---|---|---|
| 0._1282AT19R0003-0002,_SF30.pdf | ||
| 0._Sections_B-M,_1282AT19R0003-0001.pdf | ||
| 0._1282AT19R0003-0001,_SF30.pdf | ||
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| J.6_Photos_SourdoughTH.pdf | ||
| J.2_MAP_BRDToiletPumpingMxs2019.pdf | ||
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Text version
Designation of Representative, CLRD Poudre Steps II Project
DESIGNATION OF REPRESENTATIVE
CONTRACT NO.
PROJECT
BRD Toilet Pumping IDIQ 2019
UNIT
Arapaho Roosevelt NFs, Pawnee NGs
TO
Klenise Wallace, Contracting Officer
CONTRACTOR NAME & ADDRESS
Key Personnel
In accordance with the above specified contract number, the following personnel are assigned to this contract:
Contractor Representative
Name
Phone(s))
Email Role (Primary)
Role (Alternate, if Applicable)
Designated Representative
The individual named below is designated as my representative for this contract and, in my absence, is authorized to act in my behalf.
(Name)
(Title)
This delegation extends authority to take any action necessary with respect to the execution of work, including acknowledging receipt of Notice to Proceed, Suspend and Resume Work Orders, and Notices of Noncompliance. The items check below indicates additional authority authorized by this delegation:
FORMCHECKBOX
Sign progress payment estimates and invoices.
FORMCHECKBOX
Sign contract modifications.
FORMCHECKBOX
Sign final payment estimate and invoice and contract release.
FORMCHECKBOX
Execute contract termination settlement agreement.
FORMCHECKBOX
Full authority in all contractual matters.
(Date)
(Signature)
(Title)
TYPE HERE _Contractor Name
Street Address
City, State, Zipcode
TYPE HERE
(000) 000-0000
(Fname Lname)
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