J9_DesignationofReps.doc
DOC document 42 KB Posted
- Attached to
- NTDP (San Dimas) Fence Project Federal contract opportunity
- Solicitation number
- 12970223Q0075
- Issued by
- Department of Agriculture Forest Service
About this file
This document is a designation of representative form for a federal contract with the Department of Agriculture Forest Service for a fence project at the National Technology and Development Program site in San Dimas, California. The form requires the contractor to provide contact information for its representative, project manager, project foreman or woman, and inspector for the contract. It also designates an individual as the contractor's authorized representative, who can take actions such as acknowledging receipt of notices, signing contract modifications and payment estimates, and executing contract termination on behalf of the contractor. The solicitation number for the fence project opportunity is 12970223Q0075.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| J2_Appendix A- Scope of Work.pdf | ||
| J3_Appendix B- Alternate Scope of Work.pdf | ||
| J10_BiobasedStatementLetter.docx | DOCX document | |
| J8_FS-6300-7_ProgressSched_.rtf | RTF text file | |
| J7_Schedule of Items.xlsx | XLSX spreadsheet | |
| J1_Statement of Work.docx | DOCX document | |
| J6_Davis-Bacon Act WD CA20230022.pdf | ||
| J4_Appendix C- Standard Plans.pdf | ||
| 12970223Q0075.pdf | ||
| J5_Project Map.pdf |
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Text version
Designation of Representative, CLRD Poudre Steps II Project
DESIGNATION OF REPRESENTATIVE
SOLICITATION NO. / CONTRACT NO.
12970223Q0075 / TBD
PROJECT
National Technology and Development Program (NTDP) San Dimas, CA Fence Project
UNIT
NTDP (San Dimas)
TO
Chris Jordan, 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 .