Key_Personnel_Form.docx

DOCX document 13 KB Posted

Attached to
Cutter Water Treatment Plant, Navajo Gallup Water
Solicitation number
R16PS00462
Issued by

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Key Personnel Form

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Text version

KEY PERSONNEL

Name:

Proposed as: Primary Alternate

Position:

Professional Licensing:

(Provide State and License Number of all licensing active and in good standing, if applicable.)

EDUCATION

School:

City, State:

Degree Attained:

Major:

Minor:

Completion Date (Mo/Yr):

School:

City, State:

Degree Attained:

Major:

Minor:

Completion Date (Mo/Yr):

Specialized Training (i.e., DBIA Professional):

Additional relevant educational background and specialized training:

QUALIFYING EXPERIENCE

Project 1 Name:

Location:

Dates (From / To):

Position(s) on Project & Duration in Position:

Delivery Method:
Traditional Design-Build Progressive Design-Build Other

Customer Name:

Customer Address:

Customer Phone:

Customer E-mail Address:

Describe Project Features:

Describe Duties/Responsibilities:

Project 2 Name:

Location:

Dates (From / To):

Position(s) on Project & Duration in Position:

Delivery Method:
Traditional Design-Build Progressive Design-Build Other

Customer Name:

Customer Address:

Customer Phone:

Customer E-mail Address:

Describe Project Features:

Describe Duties/Responsibilities:

Project 3 Name:

Location:

Dates (From / To):

Position(s) on Project & Duration in Position:

Delivery Method:
Traditional Design-Build Progressive Design-Build Other

Customer Name:

Customer Address:

Customer Phone:

Customer E-mail Address:

Describe Project Features:

Describe Duties/Responsibilities:

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