A10. J12_DesignationofKTRKeyPersonnel-Reps (Draft).doc

DOC document 44 KB Posted

Attached to
San Francisquito Fire Station & Barracks Construction Federal contract opportunity
Solicitation number
12970224R0036
Issued by
Department of Agriculture Forest Service

About this file

This document is a Designation of Representative for the CLRD Poudre Steps II Project, Contract No. 12970224R0036. It identifies the key personnel assigned to the contract, including the Contractor Representative, Project Foreman/woman, Project Manager, Inspector, and other positions. The document grants the Contractor Representative authority to take actions necessary for contract execution, including signing progress payments, modifications, final payment, and contract termination.

The related federal contract opportunity is for the San Francisquito Fire Station & Barracks Construction project, Solicitation No. 12970224R0036. This is a pre-solicitation notice for a planned construction project with the USDA Forest Service, Region 5 Angeles National Forest. The project includes building a new fire station and potentially a new barracks. The solicitation period is anticipated from June 21 to July 26, 2024, with a planned contract award on or about August 16, 2024. The contract is expected to be a single-award, firm-fixed-price contract with a performance period of approximately 540 calendar days. The anticipated contract value range is more than $10 million. The contract will be set aside for small businesses, and bonding requirements are specified.

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Text version

Designation of Representative, CLRD Poudre Steps II Project

DESIGNATION OF REPRESENTATIVE

SOLICITATION NO.

12970224R0036

CONTRACT NO.

PROJECT

San Francisquito Fire Station & Barracks Construction

UNIT

Angeles 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
Email
Overwrite Here
Overwrite Here
Overwrite Here
Project Foreman/woman Name
Phone
Email
Overwrite Here
Overwrite Here
Overwrite Here
Project Manager Name
Phone
Email
Overwrite Here
Overwrite Here
Overwrite Here
Inspector Name
Phone
Email
Overwrite Here
Overwrite Here
Overwrite Here
Other Title Name
Phone
Email
Overwrite Here
Overwrite Here
Overwrite Here
Other Title Name
Phone
Email
Overwrite Here
Overwrite Here
Overwrite Here
Other Title Name
Phone
Email
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

File details come from the government source that posted it. Updated .