A-6_J-9_DesignationofKTRKeyPersonnel-Reps.doc

DOC document 42 KB Posted

Attached to
El Dorado NF Radio Shop Windows
Solicitation number
12970224Q0050
Issued by

About this file

This document is a Designation of Representative for the Soldier Creek Boardwalk project under Contract No. 12970224Q0021. It designates the following key personnel for the contractor: Contractor Representative, Project Foreman/woman, Project Manager, and Inspector. The document grants the Contractor Representative authority to take actions necessary for contract execution, including acknowledging receipt of notices, signing progress payments and invoices, contract modifications, final payment, and contract termination. The related federal contract opportunity is for replacing the Radio Shop Windows, siding, doors, motion sensors, and necessary repairs and abatement of hazardous materials at the El Dorado National Forest, with the Department of Agriculture Forest Service as the procuring agency. The solicitation number is 12970224Q0050.

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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
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 .