City of Austin
Attachment 2
CITY OF AUSTIN
Capital Contracting Office
REQUEST FOR CHANGES OF KEY PERSONNEL
| |
|NAME OF ROTATION LIST OR STAND ALONE PROJECT AND | |
|CONTRACT #: | |
|PRIME CONSULTANT: |Firm Name: |
|SUBCONSULTANT, if applicable: |Firm Name: |
|ADDED KEY PERSONNEL | |
|ATTACH: |Personnel Name: |
|Qualifying resume |Title: |
|Appropriate experience form (Form 7, 8, 9) |Loaded Hourly Rate: |
|Key Personnel Request for Hourly Rate Approval Form |Registration or License #: |
|REMOVED KEY PERSONNEL |Personnel Name: |
| |Title: |
| |Loaded Hourly Rate: |
| |Registration or License #: |
|REASON FOR CHANGE: | |
| | |
PRIME CONSULTANT PRINCIPAL OR AUTHORIZED CONTRACT SIGNATORY:
____________________________________ ___________________________________
Name (Please Print) Signature
____________________________________ ___________________________________
Title (Please Print) Date
***CITY OF AUSTIN ONLY***
Contract Sponsor Approval CCO Procurement Approval
________________________________________ _______________________________________
Name Name
____________________________________ ___________________________________
Signature Date Signature Date
Project Manager Approval CCO Contract Development & Admin Approval
____________________________________ ___________________________________
Name Name
____________________________________ ___________________________________
Signature Date Signature Date
NOTE: File in Contract File
EXPERIENCE OF PROJECT MANAGER (WITHIN TIMEFRAME REQUIRED IN RFQ) Form 7
Project Name: Page 2
===========================================================================
Firm Name:
Project Manager: Current Years of Experience:
Experience (Note experience relevant to the contract.):
(Use the following format. Provide no more than one page per project.)
Project #1 Name/Location:
Firm Name Work Performed Under:
Year Completed: Construction Cost:
Client or Owner's Representative:
Title of person named above:
Address of person named above:
Phone number of person named above:
Project Description:
Work performed by Individual:
Project #2 Name/Location:
Firm Name Work Performed Under:
Year Completed: Construction Cost:
Client or Owner's Representative:
Title of person named above:
Address of person named above:
Phone number of person named above:
Project Description:
Work performed by Individual:
Project #3 Name/Location:
Firm Name Work Performed Under:
Year Completed: Construction Cost:
Client or Owner's Representative:
Title of person named above:
Address of person named above:
Phone number of person named above:
Project Description:
Work performed by Individual:
Project #4 Name/Location:
Firm Name Work Performed Under:
Year Completed: Construction Cost:
Client or Owner's Representative:
Title of person named above:
Address of person named above:
Phone number of person named above:
Project Description:
Work performed by Individual:
Project #5 Name/Location:
Firm Name Work Performed Under:
Year Completed: Construction Cost:
Client or Owner's Representative:
Title of person named above:
Address of person named above:
Phone number of person named above:
Project Description:
Work performed by Individual:
EXPERIENCE OF PROJECT PROFESSIONAL (WITHIN TIMEFRAME REQUIRED IN RFQ) Form 8
Project Name: Page 4
Firm Name:
Project Principal: Current Years of Experience:
Experience (Note experience relevant to the proposed contract.):
(Use the following format. Provide no more than one page per project.)
Project #1 Name/Location:
Firm Name Work Performed Under:
Year Completed: Construction Cost:
Client or Owner's Representative:
Title of person named above:
Address of person named above:
Phone number of person named above:
Project Description:
Work performed by Individual:
Project #2 Name/Location:
Firm Name Work Performed Under:
Year Completed: Construction Cost:
Client or Owner's Representative:
Title of person named above:
Address of person named above:
Phone number of person named above:
Project Description:
Work performed by Individual:
Project #3 Name/Location:
Firm Name Work Performed Under:
Year Completed: Construction Cost:
Client or Owner's Representative:
Title of person named above:
Address of person named above:
Phone number of person named above:
Project Description:
Work performed by Individual:
Project #4 Name/Location:
Firm Name Work Performed Under:
Year Completed: Construction Cost:
Client or Owner's Representative:
Title of person named above:
Address of person named above:
Phone number of person named above:
Project Description:
Work performed by Individual:
Project #5 Name/Location:
Firm Name Work Performed Under:
Year Completed: Construction Cost:
Client or Owner's Representative:
Title of person named above:
Address of person named above:
Phone number of person named above:
Project Description:
Work performed by Individual:
EXPERIENCE OF PROJECT PRINCIPAL (WITHIN TIMEFRAME REQUIRED IN RFQ Form 9
Project Name: Page 6
===========================================================================
Firm Name:
Project Engineer:
(List name as shown on registration with the Texas Board of Professional Engineers (TBPE)
Registration No.: Year of Registration: Current Years of Experience:
(Note experience relevant to the proposed contract.):
(Use the following format. Provide no more than one page per project.)
Project #1 Name/Location:
Firm Name Work Performed Under:
Year Completed: Construction Cost:
Client or Owner's Representative:
Title of person named above:
Address of person named above:
Phone number of person named above:
Project Description:
Work performed by Individual:
Project #2 Name/Location:
Firm Name Work Performed Under:
Year Completed: Construction Cost:
Client or Owner's Representative:
Title of person named above:
Address of person named above:
Phone number of person named above:
Project Description:
Work performed by Individual:
Project #3 Name/Location:
Firm Name Work Performed Under:
Year Completed: Construction Cost:
Client or Owner's Representative:
Title of person named above:
Address of person named above:
Phone number of person named above:
Project Description:
Work performed by Individual:
Project #4 Name/Location:
Firm Name Work Performed Under:
Year Completed: Construction Cost:
Client or Owner's Representative:
Title of person named above:
Address of person named above:
Phone number of person named above:
Project Description:
Work performed by Individual:
Project #5 Name/Location:
Firm Name Work Performed Under:
Year Completed: Construction Cost:
Client or Owner's Representative:
Title of person named above:
Address of person named above:
Phone number of person named above:
Project Description:
Work performed by Individual:
................
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