A10_127EAS25R0003-Att6-KTRKeyPersonnel.doc
DOC document 42 KB Posted
- Attached to
- Plumas NF Concow Disaster Aggregate Base Federal contract opportunity
- Solicitation number
- 127EAS25R0003
- Issued by
- Department of Agriculture Forest Service
About this file
This document is a Designation of Representative form for the Plumas NF Concow Disaster Aggregate Base project (Solicitation No. 127EAS25R0003). The solicitation is a 100% small business set-aside under NAICS 212321 for construction sand and gravel mining, specifically requiring services to furnish, haul, and spread approximately 12,300 cubic yards of aggregate base on Plumas National Forest Service Roads in Concow, CA. The project involves road improvement work for the U.S. Forest Service Plumas National Forest, Feather River Ranger District.
The form provides a template for designating key personnel for the contract, including positions such as Contractor Representative, Project Foreman/woman, Project Manager, and Inspector. The designated representative is granted authority to take actions necessary for contract execution, including signing progress payments, invoices, contract modifications, and potentially executing contract termination settlement agreements. The solicitation point of contact is Matthew Killian, Contract Specialist, who can be reached at matthew.killian@usda.gov.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| A11_QAmemo1-127EAS25R0003_17Jul2025.pdf | ||
| A10_127EAS25R0003-Att3-LocationsMap.pdf | ||
| A10_127EAS25R0003-Att4-SCAWD2015-5605.pdf | ||
| A10_127EAS25R0003-Att5-ExperienceQuestionnaire.docx | DOCX document | |
| A10_0-RFP-127EAS25R0003.pdf | ||
| A10_127EAS25R0003-Att1-FillableSOI.xlsx | XLSX spreadsheet | |
| A10_127EAS25R0003-Att2-SOW.pdf |
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Text version
Designation of Representative, CLRD Poudre Steps II Project
DESIGNATION OF REPRESENTATIVE
SOLICITATION NO.
127EAS25R0003
CONTRACT NO.
PROJECT
Plumas NF Concow Disaster Aggregate Base
UNIT
Plumas 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 |
| Overwrite Here |
| Overwrite Here |
| Overwrite Here |
| Project Foreman/woman Name |
| Phone |
| Overwrite Here |
| Overwrite Here |
| Overwrite Here |
| Project Manager Name |
| Phone |
| Overwrite Here |
| Overwrite Here |
| Overwrite Here |
| Inspector Name |
| Phone |
| Overwrite Here |
| Overwrite Here |
| Overwrite Here |
| Other Title Name |
| Phone |
| Overwrite Here |
| Overwrite Here |
| Overwrite Here |
| Other Title Name |
| Phone |
| Overwrite Here |
| Overwrite Here |
| Overwrite Here |
| Other Title Name |
| Phone |
| 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 .