Attachment 8-DesignationofReps.doc
DOC document 42 KB Posted
- Attached to
- Grandview Lookout Cabin Reroof, Demolition, and Asbestos Removal, Kaibab National Forest
- Solicitation number
- 12970223Q0087
- Issued by
-
Department of Agriculture Forest Service
About this file
This document is a designation of representative form for a federal contract to reroof the Grandview Lookout Cabin, demolish structures, and remove asbestos at the Kaibab National Forest in Arizona. The contractor must designate key personnel including a contractor representative, project manager, project foreman or woman, and inspector. The contractor must also designate a representative authorized to act on their behalf in contractual matters such as acknowledging receipt of notices, signing payment estimates and modifications, and executing termination agreements. This representative is given full authority over all contractual matters. The related federal contract opportunity is solicitation number 12970223Q0087 from the Department of Agriculture Forest Service for the Grandview Lookout Cabin reroof, demolition, and asbestos removal project on the Tusayan Ranger District of the Kaibab National Forest in Arizona.
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Text version
Designation of Representative, CLRD Poudre Steps II Project
DESIGNATION OF REPRESENTATIVE
SOLICITATION NO.
12970223Q0087
PROJECT
Grandview Lookout Cabin Reroof, Demolition, and Asbestos Removal, Kaibab National Forest, Arizona
UNIT
Tusayan Ranger District, KNF
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
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