Attachment_4_-_Key_Personnel_Resume_Form.pdf

FOR OFFICIAL USE ONLY, SOURCE SELECTION INFORMATION (FAR 3.104)

Attachment 4 Key Personnel Resume Form

Section 3 – Factor 3 – Technical and Professional Qualifications Response to Phase I Solicitation HHSI02-19-R-00017

While this exact form is not required, the same information must be provided. Provide information, listed below, on separate sheets showing qualifications of: prime contractor’s Project Manager responsible for design and construction, Architect of Record, Project Site Superintendent and SSHO. Use a continuation sheet, if needed.

(a) Your Name and Title

(b) Your Assignment on this Project

(c) Name of Your Firm

(d) No. of Years: With this Firm__________ With other Firms____________

(e) Education: Degree(s)/Year/Specialization

(f) Active Registration, if any: No._______, State(s) ______, First Year/ Current Year ______/______

(g) Type of Registration __________________________ (P.E., R.A., LEED-AP, etc.)

(h) Describe Your Specific Experience and Qualifications Relevant to this Project: