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Subconsultant Forma RS-2 <br />NORTH CAROLINA DEPARTMENT OF TRANSPORTATION <br />SUBCONSULTANT <br />TO BE USED WITH PROFESSIONAL SERVICES CONTRACT ONLY <br />RACE AND GENDER NEUTRAL <br />REV 1/15/08 <br />TIP No. andlor Type of Cfork (Lhraited Services) <br />T ms's -rlceep, �Iel� ri=.o 6/ - 1439r <br />WonsukantlFirm Name and Federal Tus 1d) <br />,\fo,rG <br />(Subconsaaltant/Firru Name and Federal Tat ld) <br />" S UBCONCONSULTANT" FORM RS -2 <br />�7 RACE AND GENDER NEUTRAL <br />Instructions for completing the Form RS -2: <br />1. Complete a Subconsultant Form RS -2 for each Subconsultant firm to be utilized by your firm. <br />2. Insert TIP Number and/or Type of Work (Limited Services) <br />3. Complete the Consultant /Firm name and Federal Tax ID Number for the primary firm infonnation. <br />4. Complete the Subconsultant /Sub Finn name and Federal Tax ID Number for the sub firm information. <br />5. Enter Service /Item Description — describe work to be performed by the Sub Firm <br />6. Enter Anticipated Utilization — Insert dollar value or percent of work to the Subconsultant /Sub Firm <br />7. *Signatures of both Subconsultant and Prime Consultant are required on each RS -2 Form to be <br />submitted <br />with the Letter of Interest (LOI) to be considered for selection <br />8. Complete "SPSF Status" section - Subconsultant shall check the appropriate box regarding SPSF <br />Status, check Yes if SPSF or No if not SPSF <br />Attachment number 2 <br />F -4 Page 160 <br />SERVICE 1ITEM DESCRIPTION <br />Anticipated <br />Utilization <br />VlP S/ 16 <br />V 7 7 <br />TOTAL UTILIZATION: <br />SUBMITTED BY: <br />SUBCONSULTANT: <br />RECOMMENDED BY: <br />CONSULTANT: <br />*BY; <br />*BY: <br />TITLE: <br />TITLE: A r <br />15 Al <br />SPSF <br />Status: Yes El <br />No 29 <br />" S UBCONCONSULTANT" FORM RS -2 <br />�7 RACE AND GENDER NEUTRAL <br />Instructions for completing the Form RS -2: <br />1. Complete a Subconsultant Form RS -2 for each Subconsultant firm to be utilized by your firm. <br />2. Insert TIP Number and/or Type of Work (Limited Services) <br />3. Complete the Consultant /Firm name and Federal Tax ID Number for the primary firm infonnation. <br />4. Complete the Subconsultant /Sub Finn name and Federal Tax ID Number for the sub firm information. <br />5. Enter Service /Item Description — describe work to be performed by the Sub Firm <br />6. Enter Anticipated Utilization — Insert dollar value or percent of work to the Subconsultant /Sub Firm <br />7. *Signatures of both Subconsultant and Prime Consultant are required on each RS -2 Form to be <br />submitted <br />with the Letter of Interest (LOI) to be considered for selection <br />8. Complete "SPSF Status" section - Subconsultant shall check the appropriate box regarding SPSF <br />Status, check Yes if SPSF or No if not SPSF <br />Attachment number 2 <br />F -4 Page 160 <br />