23-0144_Exhibit A-Interactive Form KeyPersonnel-Certs_ V2_WBPMIS RFP.xlsx
XLSX spreadsheet 44 KB Posted
- Contract number
- 24-557THA-ENGPF-P-84616
- Issued by
- Illinois
About this file
The document is an Exhibit A Key Project Personnel form for a professional consulting services contract (Contract Number 23-0144) with the Illinois Tollway. The form is specifically designed for single prime consultants and team leads, focusing on documenting key personnel across multiple design and engineering disciplines, including roadway, structural, electrical, and mechanical design. The document provides a template for listing project team members, their roles, certifications, and affiliated firms.
The contract appears to be for WBPMCS Professional Consulting Services, with provisions for detailed personnel tracking and qualification verification. The form requires documentation of key personnel's licenses, certifications, time commitment percentages, and references from established firms or government agencies. Notably, the Illinois Tollway reserves the right to approve any changes to key project personnel before award and during contract performance. The document emphasizes the need for submitting a PDF with personnel certifications and licenses, with instructions to not add additional personnel beyond the specified roles.
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Text version
Exhibit A
| EXHIBIT A | |||||||
| KEY PROJECT PERSONNEL | Project Manager | ||||||
| This Exhibit is for Single Prime Consultants and Team Leads only | Project Engineer | ||||||
| Contract Number / Description: | 23-0144 WBPMCS Professional Consulting Services | Resident Engineer | |||||
| Prime/Team Name: | Architect | ||||||
| Roadway Design | |||||||
| Structural Design | |||||||
| Title* | License or Certification Attached? | Name | Firm | Percentage of Time Commited | Provide references from established firms or government agencies (Click here to enter text.) other than the procuring agency that can attest to Offeror’s experience and ability to perform the contract that is the subject of this solicitation. | Electrical Design | |
| Contract Project Manager | J.1. Firm/Government Agency (name): Click here to enter text. | Mechanical Design | |||||
| Contact Person (name, email address, address, and phone): Click here to enter text. | Materials Coordinator | ||||||
| Business Analyst | Date of Supplies/Services Provided: Click here to enter text. | ||||||
| Type of Supplies/Services Provided: Click here to enter text. | |||||||
| Quality Assurance/Quality Control (QA/QC) Reviewer | J.2. Firm/Government Agency (name): Click here to enter text. | Materials QA Technician | |||||
| Contact Person (name, email address, address, and phone): Click here to enter text. | Document Technician | ||||||
| End User Trainer | Date of Supplies/Services Provided: Click here to enter text. | Schedule Reviewer | |||||
| Type of Supplies/Services Provided: Click here to enter text. | QC/QA Review Multiple Disciplines | ||||||
| J.3. Firm/Government Agency (name): Click here to enter text. | QC/QA Review Structural Only | ||||||
| Contact Person (name, email address, address, and phone): Click here to enter text. | QC/QA Review Roadway Only | ||||||
| Date of Supplies/Services Provided: Click here to enter text. | QC/QA Review Electrical Only | ||||||
| Type of Supplies/Services Provided: Click here to enter text. | QC/QA Review Architectural Only | ||||||
| Roadway Engineer |
Rev. PILOT Date: &D
Instructions
Name - Enter Name of person in Key Project Personnel Role. NOTE: Any changes to the Selected Firm’s Key Project Personnel are subject to approval by the Illinois Tollway prior to award and anytime during contract performance, including Subconsultant staff.
License or Certification Attached? - Select Yes, No or Not Applicable.
Firm - Enter Consultant or Subconsultant company name.
Submit Exhibit A as a pdf file including attachments or screen print out of certification and/or licenses for all Key Project Personnel after this page. Do not add additional personnel to Exhibit A.
Percentage of Time Commited - Enter a percentage (%) of time that each Key Personnel will be dedicated to the Work image1.png
File details come from the government source that posted it. Updated .