A6_J12-DesignationofKTRKeyPersonnel-Reps.doc
DOC document 42 KB Posted
- Attached to
- Lassen NF Soldier Creek Boardwalk Replacement
- Solicitation number
- 12970224Q0021
- Issued by
-
Department of Agriculture Forest Service
About this file
This document is a Designation of Representative form for the Soldier Creek Boardwalk Replacement project, Solicitation No. 12970224Q0021, Contract No. under the Lassen National Forest.
The key personnel assigned to this contract include the Contractor Representative, Project Foreman/woman, Project Manager, and Inspector. The Contractor Representative is designated with authority to take any action necessary with respect to the execution of work, including acknowledging receipt of various contract documents and signing progress payments, modifications, final payment, and contract termination. The project is for the replacement of an existing boardwalk on the Pacific Crest Trail that was damaged in the Dixie Fire. The contracting agency is the Department of Agriculture Forest Service.
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Other files
| File | Type | Posted |
|---|---|---|
| A7_Q_A_07052024_0001.pdf | ||
| A6_J4-MAPS-SoldierCrkTrailBridgePCT.pdf | ||
| A6_J3-DRAWINGS-SoldierCrkTrailBridgePCT.pdf | ||
| A6_J11-BiobasedStatementLetter.docx | DOCX document | |
| Sol_12970224Q0021.pdf | ||
| A6_J2-SPECS-SoldierCrkTrailBridgePCT.pdf | ||
| A6_J6_WageDet_CA20240007_04122024_Plumas.pdf | ||
| A6_J9-Experience_Questionnaire_(FS_6300-27).docx | DOCX document | |
| A6_J5_SOI.xlsx | XLSX spreadsheet | |
| A6_J1_SOW.docx | DOCX document | |
| A6_J7_FIRE_PLAN-LassenNF.pdf | ||
| A6_J10-ProgressSched_(FS_6300-7).rtf | RTF text file |
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Text version
Designation of Representative, CLRD Poudre Steps II Project
DESIGNATION OF REPRESENTATIVE
SOLICITATION NO.
12970224Q0021
CONTRACT NO.
PROJECT
Soldier Creek Boardwalk
UNIT
Lassen National Forest
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:
Personnel identified herein may hold multiple roles/positions.
| Contractor Representative Name |
| Phone |
| Overwrite Here |
| Overwrite Here |
| Overwrite Here |
| Project Foreman/woman Name |
| Phone |
| Overwrite Here |
| Overwrite Here |
| Overwrite Here |
| Project Manager Name |
| Phone |
| Overwrite Here |
| Overwrite Here |
| Overwrite Here |
| Inspector Name |
| Phone |
| Overwrite Here |
| Overwrite Here |
| Overwrite Here |
| Other Title Name |
| Phone |
| Overwrite Here |
| Overwrite Here |
| Overwrite Here |
| Other Title Name |
| Phone |
| Overwrite Here |
| Overwrite Here |
| Overwrite Here |
| Other Title Name |
| Phone |
| Overwrite Here |
| Overwrite Here |
| Overwrite Here |
Designated Representative 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 to the key person identified as the Contractor Representative above:
☐ Sign progress payment estimates and invoices.
☐ Sign contract modifications.
☐ Sign final payment estimate and invoice and contract release.
☐ Execute contract termination settlement agreement.
☐ Full authority in all contractual matters.
Name Overwrite Here Title Overwrite Here
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