Attachment 9 - DesignationofReps.doc
DOC document 42 KB Posted
- Attached to
- Round Hill Pines Resort Historic Buildings Stabilization, Lake Tahoe Basin Management Unit
- Solicitation number
- 12970223Q0086
- Issued by
-
Department of Agriculture Forest Service
About this file
This document is a designation of representative form for solicitation number 12970223Q0086 from the Department of Agriculture Forest Service. The form designates key personnel for the Round Hill Pines Resort Historic Buildings Stabilization project including the contractor representative, project manager, project foreman/woman, and inspector. It also designates a representative who is authorized to act on behalf of the contractor including acknowledging notices, signing payment estimates and modifications, and executing contract termination. Contact information is provided for all designated personnel.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment 6 - FS 6300-7_ProgressSched.rtf | RTF text file | |
| Attachment 5 - Past Performance References.docx | DOCX document | |
| Attachment 3 - Schedule of Items.xlsx | XLSX spreadsheet | |
| Attachment 7 - DBA Wage Determination.pdf | ||
| 12970223Q0086 Round Hill Pines Cabin Stabilization Solicitation.pdf | ||
| Attachment 1 - Round Hill Pines Cabin Stabilization Project Specs.pdf | ||
| Attachment 8 - BiobasedStatementLetter.docx | DOCX document | |
| Attachment 4 - Project Location Map.jpg | JPG image | |
| Attachment 10 - FSSS Round Hill Pines Cabins 2023.docx | DOCX document | |
| Attachment 2 - Round Hill Pines Cabin Project Drawings.pdf |
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Text version
Designation of Representative, CLRD Poudre Steps II Project
DESIGNATION OF REPRESENTATIVE
SOLICITATION NO.
12970223Q0086
PROJECT
Round Hill Pines Cabin Stabilization Project
UNIT
Lake Tahoe Basin Management Unit
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 .