ATTACHMENT 22- KEY STAFF REPLACEMENT FORM.pdf

PDF 39 KB Posted

Attached to
Cannabis Integration System (CSI) - DCC
Solicitation number
0000039409
Issued by
California

About this file

This is a Key Staff Replacement Form used by a contracting agency to manage personnel changes on state and local contracts. The form serves as the official documentation mechanism for requesting and approving the substitution of key staff members assigned to active contracts. The form requires the contractor to identify the specific key staff position being replaced, provide the name and qualifications of the proposed replacement staff member, and justify the reason for the substitution. A proposed effective date must be specified for when the replacement will take effect, and supporting qualification documentation or resume materials for the proposed key staff member must be attached to the submission.

The form requires authorization and acceptance from both the contractor and the state agency before the key staff replacement can be finalized. Both parties must designate an authorized representative who signs the form and provides contact information including phone number and email address. The form captures essential administrative information including the contractor name, agreement number, and project name to ensure proper tracking and documentation. This standardized form establishes a formal change management process that allows contractors to maintain staffing flexibility while ensuring the contracting agency maintains oversight of personnel qualifications and continuity on active contracts.

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Text version

ATTACHMENT 22: KEY STAFF REPLACEMENT FORM

Key Staff Replacement Form

CONTRACTOR NAME:

Date:

Agreement Number: Project Name:

Key Staff to be Added Key Staff Replaced Proposed Effective Date Key Staff Position

Reason for Substitution/Comments:

• Proposed Key Staff Qualifications Attached

• Proposed Key Staff Qualification Form/Resume Attached

State Acceptance Contractor Acceptance

Printed Name of Authorized Representative:

Printed Name of Authorized Representative:

Signature of Authorized Representative:

Signature of Authorized Representative

Title: Title:

Contact Information (phone number & email address):

Contact Information (phone number & email address):

ATTACHMENT 22: KEY STAFF REPLACEMENT FORM
Key Staff Replacement Form

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