Attachment 04 - Key Personnel Resume Form Sample - 1 page.pdf

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Z2DA--Replace Boiler #2 and Correct Deficiencies at Boiler Plant
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36C24825R0023
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This is a Key Personnel Resume Form template that must be completed for key positions on a VA construction project to replace boiler #2 and correct deficiencies at a boiler plant in San Juan, PR. The form requires qualification information for the prime contractor's Project Manager, Architect of Record, Project Site Superintendent, Site Safety and Health Officer (SSHO), and Construction Quality Manager (CQM).

The form captures basic professional details including name, project assignment, firm name, years of experience, education, professional registrations (PE, RA, LEED-AP, etc.), and requires a description of specific experience relevant to the project. While this exact form format is not mandatory, all the requested information must be provided, with continuation sheets allowed if needed.

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Key Personnel Resume Form While this exact form is not required, the same information must be provided. Provide information, listed below, on separate sheets showing qualifications of: prime contractor’s Project Manager responsible for design and construction, Architect of Record, Project Site Superintendent, SSHO, and Construction Quality Manager (CQM).

Use a continuation sheet, if needed.

(a) Your Name and Title

(b) Your Assignment on this Project

(c) Name of Your Firm

(d) No. of Years: With this Firm__________ With other Firms____________

(e) Education: Degree(s)/Year/Specialization

(f) Active Registration, if any: No._______, State(s) ______, First Year/ Current Year ______/______

(g) Type of Registration __________________________ (P.E., R.A., LEED-AP, etc.)

(h) Describe Your Specific Experience and Qualifications Relevant to this Project:

File details come from the government source that posted it. Updated .