20150413-contractor-representative.doc

DOC document 30 KB Posted

Attached to
PCRD Bugle Post Treatment Thinning and Fuels Reduction
Solicitation number
1149582
Issued by

About this file

This document is a Designation of Representative form from the U.S. Department of Agriculture Forest Service - Region 6, used to formally authorize a contractor's representative to act on behalf of the primary contractor. The form allows the designated representative to have various levels of contractual authority, which can be selected by checking specific boxes, including signing progress payment estimates, invoices, contract modifications, final payments, and potentially executing contract termination settlement agreements.

The related federal contract opportunity is a solicitation (No. 1149582) for the Prairie City Ranger District, seeking services for thinning and grapple pile work. The solicitation is specifically for the PCRD Bugle Post Treatment Thinning and Fuels Reduction project, which involves forest management activities to thin vegetation and reduce fuel loads, consistent with typical U.S. Forest Service forest health and wildfire mitigation practices.

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Text version

U.S. Department of Agriculture

Forest Service – Region 6

Designation of Representative

(Contractor) Contract No. Task Order No.

Unit

Contractor

Project Name

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

The delegation includes authority to take any action necessary with respect to the execution of the work, including acknowledging receipt of Notice to Proceed, Suspend and Resume work Orders, and Work Order and Notices of Noncompliance. The items checked below indicates additional authority authorized by this delegation:

Sign progress payment estimates and invoices.

Sign contract modification.

Sign final payment estimate and invoice and contract release.

Execute contract termination settlement agreement.

Full authority in all contractual matters.

Date

Signature

Title

Distribution:

Original –CO; copies – COR, B&F, Forest

R6-FS-6300-6 ( 12 /83)

Contractor, Contractor’s Representative

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