J3_DesignationofReps.doc
DOC document 41 KB Posted
- Attached to
- SRD ANRA-SMV Waste & Recycle Multi-Year Federal contract opportunity
- Solicitation number
- 1282AT19R0014
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J3 Designation of Representatives
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| J2_WD_2015-5437,_v10,_07162019.pdf | ||
| J5_FS_6300-11_SubkApproval.docx | DOCX document | |
| J6_SOL._TITLE_PAGE(s)_EXAMPLE.docx | DOCX document | |
| J1_SectB-_SOI,_1282AT19R0014_(Fill-In).xlsx | XLSX spreadsheet | |
| J4_FS_6300-27_Experience_Questionnaire.docx | DOCX document | |
| 1._1282AT19R0014,_SF1449.pdf |
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Text version
Designation of Representative, CLRD Poudre Steps II Project
DESIGNATION OF REPRESENTATIVE
SOLICITATION/CONTRACT NO.
1282AT19R0014 /
PROJECT
SRD ANRA-SMV Waste & Recycle Multi-Year
UNIT
Arapaho Roosevelt NFs and Pawnee NGs
TO
Klenise Wallace, Contracting Officer
CONTRACTOR NAME, ADDRESS & POC EMAIL
Contractor Name
Street Address
City, State + Zipcode POC Name, Email
Key Personnel
In accordance with the above specified contract number, the following personnel are assigned to this contract:
Contractor Representative
Name
Phone(s))
Project Manager
Project Forman/Woman
Inspector
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)
Fname Lname
(000) 000-0000
EMAIL@address.com
Type Title
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