A10_127EAS25R0005-Att10-KTRKeyPersonnel.doc
DOC document 42 KB Posted
- Attached to
- Sierra NF Incline II Site Prep Stand-alone
- Solicitation number
- 127EAS25R0005
- Issued by
-
Department of Agriculture Forest Service
About this file
This document is a Designation of Representative form for the Sierra NF Incline II Site Prep Stand-alone contract (Solicitation No. 127EAS25R0005). The document outlines key personnel roles for the project, including spaces for a Contractor Representative, Project Foreman/woman, Project Manager, Inspector, and additional personnel. The form provides a delegation of authority that extends to taking actions necessary for contract execution, such as acknowledging work orders, signing progress payments, contract modifications, and potentially executing contract termination settlements.
The related federal contract opportunity is a U.S. Forest Service solicitation for manual and mechanical site preparation services on the Bass Lake Ranger District of the Sierra National Forest. The contract is 100% set aside for small businesses under NAICS code 115310 (Support Activities for Forestry) and involves services including hand cutting, machine cutting, machine pushing, and machine piling. The solicitation's point of contact is Matthew Killian, Contract Specialist, and the work will be performed according to specifications detailed in the solicitation attachments.
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Text version
Designation of Representative, CLRD Poudre Steps II Project
DESIGNATION OF REPRESENTATIVE
SOLICITATION NO.
127EAS25R0005
CONTRACT NO.
PROJECT
Sierra NF Incline II Site Prep Stand-alone
UNIT
Sierra 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 .