Att 7 - Designation of Representative.doc
DOC document 42 KB Posted
- Solicitation number
- 12970223Q0102
- Issued by
-
Department of Agriculture Forest Service
About this file
This document is a designation of representative form for the solicitation to provide well pond relining services for the Lassen National Forest in California under solicitation number 12970223Q0102. The form designates the contractor's representative and key personnel for the project, including the contractor representative, project manager, project foreman or woman, and inspector. It also designates an individual to act on behalf of the contractor in contractual matters such as acknowledging receipt of notices, signing payment estimates and modifications, and executing contract termination agreements. The individual is given full authority in contractual matters by the designation. The related federal contract opportunity is for well pond relining services at the Lassen National Forest in California, issued by the Department of Agriculture Forest Service under the listed solicitation number.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Att 1 - LNF Well Pond Relining Map.pdf | ||
| 12970223Q0102 LNF Well Pond Relining.pdf | ||
| Att 6 - BiobasedStatementLetter.docx | DOCX document | |
| Att 5 - DBA Wage Determination.pdf | ||
| Att 3 - Past Performance References.docx | DOCX document | |
| Att 4 - FS 6300-7 Progress Schedule.rtf | RTF text file | |
| Att 2 - LNF Pricing Worksheet - Schedule of Items.docx | DOCX document |
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Text version
Designation of Representative, CLRD Poudre Steps II Project
DESIGNATION OF REPRESENTATIVE
SOLICITATION NO.
12970223Q0102
PROJECT
Well Pond Relining
UNIT
Lassen National Forest
TO
Kelly Ollivant Contract Specialist
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
File details come from the government source that posted it. Updated .