C04_1-127EAS26Q0029-Att2-KTRKeyPersonnel.doc
DOC document 42 KB Posted
- Attached to
- SQF Elevator Maint & Phone Monitoring
- Solicitation number
- 127EAS26Q0029
- Issued by
-
Department of Agriculture Forest Service
About this file
This is a Key Personnel Designation form for USFS solicitation 127EAS26Q0029, a small business set-aside contract for elevator maintenance, inspection, and phone monitoring services at the Porterville Air Attack Base on the Sequoia National Forest. The form designates key personnel roles that the contractor must assign to execute the contract, including positions for a Contractor Representative, Project Foreman/woman, Project Manager, Inspector, and other designated roles, with required contact information fields for name, phone, and email for each position.
The Contractor Representative holds delegated authority to execute work on behalf of the contractor and may be granted additional specific authorities including signing progress payments and invoices, contract modifications, final payments, contract release, termination settlement agreements, or full authority in all contractual matters. The form is to be submitted to Matthew Killian, the Contracting Officer, and serves as the formal notification of personnel assignments necessary for contract performance and authorized representative actions under solicitation 127EAS26Q0029.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| C04_1-127EAS26Q0029-Att5-FillableSOI.xlsx | XLSX spreadsheet | |
| C04_1-127EAS26Q0029-Att1-SOW.pdf | ||
| C04_1-127EAS26Q0029-Att4-ExpQuestionnaire.docx | DOCX document | |
| C04_1-127EAS26Q0029-Att3_SCAWD-2015-5657.pdf | ||
| C04_0-RFQ-127EAS26Q0029.pdf |
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Text version
Designation of Representative, CLRD Poudre Steps II Project
DESIGNATION OF REPRESENTATIVE
SOLICITATION NO.
127EAS26Q0029
CONTRACT NO.
PROJECT
SQF Elevator Maint and Phone Monitoring
UNIT
Sequoia National Forest
TO
Matthew (Matt) Killian, Contracting Officer
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:
Personnel identified herein may hold multiple roles/positions.
| Contractor Representative Name |
| Phone |
| Overwrite Here |
| Overwrite Here |
| Overwrite Here |
| Project Foreman/woman Name |
| Phone |
| Overwrite Here |
| Overwrite Here |
| Overwrite Here |
| Project Manager Name |
| Phone |
| Overwrite Here |
| Overwrite Here |
| Overwrite Here |
| Inspector Name |
| Phone |
| Overwrite Here |
| Overwrite Here |
| Overwrite Here |
| Other Title Name |
| Phone |
| Overwrite Here |
| Overwrite Here |
| Overwrite Here |
| Other Title Name |
| Phone |
| Overwrite Here |
| Overwrite Here |
| Overwrite Here |
| Other Title Name |
| Phone |
| Overwrite Here |
| Overwrite Here |
| Overwrite Here |
Designated Representative 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 to the key person identified as the Contractor Representative above:
☐ Sign progress payment estimates and invoices.
☐ Sign contract modifications.
☐ Sign final payment estimate and invoice and contract release.
☐ Execute contract termination settlement agreement.
☐ Full authority in all contractual matters.
Name Overwrite Here Title Overwrite Here
File details come from the government source that posted it. Updated .