Att 6 - Designation of Representative.doc
DOC document 42 KB Posted
- Attached to
- Coronado National Forest HVAC Replacement Federal contract opportunity
- Solicitation number
- 12970223Q0103
- Issued by
- Department of Agriculture Forest Service
About this file
This document is a designation of representative form for the Coronado National Forest HVAC Replacement project solicitation number 12970223Q0103. The form designates the contractor representative, project manager, project foreman or woman, and inspector assigned to the contract. It also names an individual as the designated representative for the contractor, who is authorized to act on their behalf regarding execution of work, acknowledge receipt of notices, and sign progress payment estimates, contract modifications, final payment estimates, and contract termination settlement agreements. Full authority in all contractual matters can also be delegated as indicated on the form. The related federal contract opportunity is for HVAC replacement services through the Department of Agriculture Forest Service's Coronado National Forest.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Santa Catalina District Office and Sabino Canyon Visitors Center HVAC Units Replacement Site Plan.pdf | ||
| SPECS_MOBILIZATION.pdf | ||
| QandA.docx | DOCX document | |
| Att 3 - Past Performance References.docx | DOCX document | |
| Att 5 - BiobasedStatementLetter.docx | DOCX document | |
| Att 4 - FS 6300-7 Progress Schedule.rtf | RTF text file | |
| 12970223Q0103 Coronado National Forest HVAC Replacement.pdf | ||
| Att 1 - CORONADO FIRE PLAN.pdf | ||
| Att 2 - Schedule of Items.xlsx | XLSX spreadsheet |
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Text version
Designation of Representative, CLRD Poudre Steps II Project
DESIGNATION OF REPRESENTATIVE
SOLICITATION NO.
12970223Q0103
PROJECT
HVAC Replacement
UNIT
Coronado National Forest
TO
Kelly Ollivant Contract Specialist
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:
Contractor Representative
Name
Phone(s))
Project Manager
Project Forman/Woman
Inspector
Designated Representative
The individual named below is designated as my representative for this contract and, in my absence, is authorized to act in my behalf.
(Name)
(Title)
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:
FORMCHECKBOX
Sign progress payment estimates and invoices.
FORMCHECKBOX
Sign contract modifications.
FORMCHECKBOX
Sign final payment estimate and invoice and contract release.
FORMCHECKBOX
Execute contract termination settlement agreement.
FORMCHECKBOX
Full authority in all contractual matters.
(Date)
(Signature)
(Title)
Fname Lname
(000) 000-0000
EMAIL@address.com
Type Title
File details come from the government source that posted it. Updated .