C15578-Form KP-Key Personnel-Add1.pdf
PDF 143 KB Posted
- Solicitation number
- S-73000-00014433
- Issued by
- Columbia County, Condon City, Oregon
About this file
This is a Key Personnel Form (Form KP) issued by the Oregon Department of Transportation for the US101/OR540 ADA Curb Ramps Phase 2 Design-Build Project serving the Coos Bay/North Bend area. The form is part of Addendum 1 to Contract C15578 and requires proposers to identify and provide detailed information about key project management personnel. The form requests comprehensive details for sixteen critical positions including Project Principal, Design-Build Project Manager, Construction Manager, Design Manager, EEO Officer/DBE Program Administrator/Liaison, Utility Coordinator, Environmental Compliance Manager, Traffic Control Manager, Project Quality Manager, Design Quality Manager, Construction Quality Manager, ADA Curb Ramp Lead Inspector, and Roadway Lead Engineer. For each position, proposers must document the personnel name, years of experience in the role, education and professional registration credentials, the principal participant or major subcontractor employing the individual, the minimum percentage of time dedicated to the project, and the number of years of employment with the employing organization.
This form functions as a staffing qualification submission document that allows the Oregon Department of Transportation to evaluate the experience and commitment level of key personnel proposed for the project. The document does not contain pricing information, set-asides, or contract award terms, but rather serves as a vehicle for proposers to demonstrate their management and technical capacity through personnel qualifications and availability. The form's inclusion as Addendum 1 indicates modifications to the original solicitation requirements, requiring all proposers to comply with the updated key personnel specifications prior to bid submission.
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Text version
Oregon Department of Transportation
Northwest Oregon 2024-2027 ADA Curb Ramps Design, Phase 2 Design-Build Project Form KP Key No. K23029/C15536 Form KP – 1 Addendum 1
FORM KP - KEY PERSONNEL INFORMATION
Project Name: US101/OR540 ADA Curb Ramps (Coos Bay/North Bend), Phase 2
Contract Number: C15578
Name of Proposer: ___________________________________________________________
PROPOSED PROJECT MANAGEMENT KEY PERSONNEL
Function Name Years of
Experience in Role
Education/ Registration
Principal Participant/
Major Subcontractor
Name
Min % of Time
Dedicated to the
Project
# Years Employment with Principal Participant/
Major Subcontractor
Project Principal
Design-Build Project Manager
Construction
Design Manager
EEO Officer/DBE Program Administrator/Liaison
DBEPA)
Utility Coordinator
Oregon Department of Transportation
Northwest Oregon 2024-2027 ADA Curb Ramps Design, Phase 2 Design-Build Project Form KP Key No. K23029/C15536 Form KP – 2 Addendum 1
Function Name Years of
Experience in Role
Education/ Registration
Principal Participant/
Major Subcontractor
Name
Min % of Time
Dedicated to the
Project
# Years Employment with Principal Participant/
Major Subcontractor
Environmental Compliance Manager
Traffic Control
Project Quality
Design Quality
Construction Quality
ADA Curb Ramp Lead Inspector
Roadway Lead Engineer
| PROPOSED PROJECT MANAGEMENT KEY PERSONNEL: |
| NameProject Principal: |
| Years of Experience in RoleProject Principal: |
| Education RegistrationProject Principal: |
| Principal Participant Major Subcontractor NameProject Principal: |
| Min of Time Dedicated to the ProjectProject Principal: |
| Years Employment with Principal Participant Major SubcontractorProject Principal: |
| NameDesignBuild Project Manager: |
| Years of Experience in RoleDesignBuild Project Manager: |
| Education RegistrationDesignBuild Project Manager: |
| Principal Participant Major Subcontractor NameDesignBuild Project Manager: |
| Min of Time Dedicated to the ProjectDesignBuild Project Manager: |
| Years Employment with Principal Participant Major SubcontractorDesignBuild Project Manager: |
| NameConstruction Manager: |
| Years of Experience in RoleConstruction Manager: |
| Education RegistrationConstruction Manager: |
| Principal Participant Major Subcontractor NameConstruction Manager: |
| Min of Time Dedicated to the ProjectConstruction Manager: |
| Years Employment with Principal Participant Major SubcontractorConstruction Manager: |
| NameDesign Manager: |
| Years of Experience in RoleDesign Manager: |
| Education RegistrationDesign Manager: |
| Principal Participant Major Subcontractor NameDesign Manager: |
| Min of Time Dedicated to the ProjectDesign Manager: |
| Years Employment with Principal Participant Major SubcontractorDesign Manager: |
| NameEEO OfficerDBE Program AdministratorLiaison DBEPA: |
| Years of Experience in RoleEEO OfficerDBE Program AdministratorLiaison DBEPA: |
| Education RegistrationEEO OfficerDBE Program AdministratorLiaison DBEPA: |
| Principal Participant Major Subcontractor NameEEO OfficerDBE Program AdministratorLiaison DBEPA: |
| Min of Time Dedicated to the ProjectEEO OfficerDBE Program AdministratorLiaison DBEPA: |
| Years Employment with Principal Participant Major SubcontractorEEO OfficerDBE Program AdministratorLiaison DBEPA: |
| NameUtility Coordinator: |
| Years of Experience in RoleUtility Coordinator: |
| Education RegistrationUtility Coordinator: |
| Principal Participant Major Subcontractor NameUtility Coordinator: |
| Min of Time Dedicated to the ProjectUtility Coordinator: |
| Years Employment with Principal Participant Major SubcontractorUtility Coordinator: |
| NameEnvironmental Compliance Manager: |
| undefined: |
| Principal Participant Major Subcontractor NameEnvironmental Compliance Manager: |
| Min of Time Dedicated to the ProjectEnvironmental Compliance Manager: |
| Years Employment with Principal Participant Major SubcontractorEnvironmental Compliance Manager: |
| NameTraffic Control Manager: |
| undefined_2: |
| Principal Participant Major Subcontractor NameTraffic Control Manager: |
| Min of Time Dedicated to the ProjectTraffic Control Manager: |
| Years Employment with Principal Participant Major SubcontractorTraffic Control Manager: |
| NameProject Quality Manager: |
| Years of Experience in RoleProject Quality Manager: |
| Education RegistrationProject Quality Manager: |
| Principal Participant Major Subcontractor NameProject Quality Manager: |
| Min of Time Dedicated to the ProjectProject Quality Manager: |
| Years Employment with Principal Participant Major SubcontractorProject Quality Manager: |
| NameDesign Quality Manager: |
| Years of Experience in RoleDesign Quality Manager: |
| Education RegistrationDesign Quality Manager: |
| Principal Participant Major Subcontractor NameDesign Quality Manager: |
| Min of Time Dedicated to the ProjectDesign Quality Manager: |
| Years Employment with Principal Participant Major SubcontractorDesign Quality Manager: |
| NameConstruction Quality Manager: |
| Years of Experience in RoleConstruction Quality Manager: |
| Education RegistrationConstruction Quality Manager: |
| Principal Participant Major Subcontractor NameConstruction Quality Manager: |
| Min of Time Dedicated to the ProjectConstruction Quality Manager: |
| Years Employment with Principal Participant Major SubcontractorConstruction Quality Manager: |
| NameADA Curb Ramp Lead Inspector: |
| Years of Experience in RoleADA Curb Ramp Lead Inspector: |
| Education RegistrationADA Curb Ramp Lead Inspector: |
| Principal Participant Major Subcontractor NameADA Curb Ramp Lead Inspector: |
| Min of Time Dedicated to the ProjectADA Curb Ramp Lead Inspector: |
| Years Employment with Principal Participant Major SubcontractorADA Curb Ramp Lead Inspector: |
| NameRoadway Lead Engineer: |
| Years of Experience in RoleRoadway Lead Engineer: |
| Education RegistrationRoadway Lead Engineer: |
| Principal Participant Major Subcontractor NameRoadway Lead Engineer: |
| Min of Time Dedicated to the ProjectRoadway Lead Engineer: |
| Years Employment with Principal Participant Major SubcontractorRoadway Lead Engineer: |
| Text1: |
| Text3: |
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