Attachment_4_Key_Personnel_Fillable_Form.docm
DOCM document 107 KB Posted
- Attached to
- Pleasant Grove Maintenance Building-Solicitation Federal contract opportunity
- Solicitation number
- R16PS00440
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Attachment 4 Key Personnel Fillable Form
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Text version
Key Personnel
| Name: Legal Name - First and Last |
| Proposed as: |
| State of Nevada Professional License: Select from drop down list |
| Number: Enter License Number (If Applicable) |
| Position: Enter Project Role Code and Project Title |
| (See Request for Qualifications, Section M, Factor 1.2 Key Personnel) |
Education
| School: Enter School or Program Name |
| School: Enter School or Program Name |
| City, State: Enter City and State of School |
| City, State: Enter City and State of School |
| Degree/Level Attained: Select from drop down list |
| Degree/Level Attained: Select from drop down list |
| Major: |
| Major: |
| Minor: |
| Minor: |
Completion Date: Month Year
Completion Date: Month Year
Specialized Training:
(select all that apply)
Other
Other
Additional relevant educational background and specialized training:
For example, detail experience with project(s) requiring consultations with a historic preservation authority, high density storage or other experience or training relevant to the proposed project - Limit 475 Characters
Qualifying Experience
| Project 1: Enter Project Name |
| Describe primary project features: |
Limit 350 Characters
Location: Enter City and State of Project
Dates of Assignment: Month Year to Month Year
Position(s) Occupied on Project: Enter Position/Job Title Enter Position/Job Title Time in Position:
Year(s) Months
Delivery Method:
LEED
| Designation: | |
| Select One | Describe duties and responsibilities: |
Limit 300 Characters
Employer/Customer: Contact familiar with your duties
Position or Role on Project: Project contact's role
| Address: |
| Address |
City, State and Zip Code
Telephone Number: Contact's Phone Number
| Project 2: Enter Project Name |
| Describe primary project features: |
Location: Enter City and State of Project
Dates of Assignment: Month Year to Month Year
Position(s) Occupied on Project: Enter Position/Job Title
Time in Position:
Delivery Method:
LEED
| Designation: | |
| Select One | Describe duties and responsibilities: |
Employer/Customer: Contact familiar with your duties
Position or Role on Project: Project contact's role
| Address: |
| Address |
City, State and Zip Code
Telephone Number: Contact's Phone Number
| Project 3: Enter Project Name |
| Describe primary project features: |
Location: Enter City and State of Project
Dates of Assignment: Month Year to Month Year
Position(s) Occupied on Project: Enter Position/Job Title
Time in Position:
Delivery Method:
LEED
| Designation: | |
| Select One | Describe duties and responsibilities: |
Employer/Customer: Contact familiar with your duties
Position or Role on Project: Project contact's role
| Address: |
| Address |
City, State and Zip Code
Telephone Number: Contact's Phone Number image1.wmf image2.wmf image3.wmf image4.wmf image5.wmf image6.wmf image7.wmf image8.wmf image9.wmf image10.wmf image11.wmf image12.wmf image13.wmf image14.wmf image15.wmf image16.wmf image17.wmf image18.wmf image19.wmf image20.wmf image21.wmf image22.wmf image23.wmf image24.wmf image25.wmf image26.wmf image27.wmf image28.wmf image29.wmf
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