A10_1-127EAS26Q0017-Att8-KTRKeyPersonnel.doc

DOC document 42 KB Posted

Attached to
Sierra NF High Sierra & Bass Lake Reforestation
Solicitation number
127EAS26Q0017
Issued by

About this file

This is a Key Personnel Designation Form for federal contract 127EAS26Q0017, a reforestation services contract with the Sierra National Forest. The form is a template requiring contractors to designate their key personnel who will perform work under the contract, including positions for a Contractor Representative, Project Foreman/woman, Project Manager, Inspector, and other roles as needed. Each designated personnel entry requires name, phone number, and email contact information.

The form grants the designated Contractor Representative specific contractual authorities including the ability to sign progress payment estimates and invoices, sign contract modifications, sign final payment estimates and invoices with contract release, execute contract termination settlement agreements, and potentially exercise full authority in all contractual matters as indicated by checkbox selections. The designation is submitted to Matthew Killian, the Contracting Officer for the Sierra National Forest's High Sierra and Bass Lake Reforestation project. This template must be completed and submitted by prospective contractors as part of their proposal response to solicitation 127EAS26Q0017, which is a 100% small business set-aside under NAICS 115310 for support activities for forestry.

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Text version

Designation of Representative, CLRD Poudre Steps II Project

DESIGNATION OF REPRESENTATIVE

SOLICITATION NO.

127EAS26Q0017

CONTRACT NO.

PROJECT

Sierra NF High Sierra & Bass Lake Reforestation

UNIT

Sierra National Forest

TO

Matthew (Matt) Killian, 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 .