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Subconsultant Form RS -2 APPENDIX A <br />REV 1/15/08 <br />NORTH CAROLINA DEPARTMENT OF TRANSPORTATION <br />SUBCONSULTANT <br />TO BE USED WITH ANY PROCUREMENT INVOLVING SERVICES <br />RACE AND GENDER NEUTRAL <br />Tip No and /or Type of Work (Limited Services) <br />C nl rf \ a �SS ur i eS nc . D d i-) G1� <br />Consultant Firm Name and Federal Tax ID <br />SubconsultantlFirm name and Federal Tax Id <br />Service/ Item Description <br />Anticipated Utilization <br />N <br />No rve <br />Total Utilization: <br />Submitted By: <br />Subconsultant: <br />Recommended By: <br />Consultant: <br />*By: <br />*By: G L <br />Title: <br />Title: <br />SPSF ❑ Yes ❑ No. <br />Status: <br />"SUBCONSULTANT" (FORM RS -2) RACE AND GENDER NEUTRAL <br />Instructions for completing the Form RS -2: <br />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); Project No. from Transit System <br />3. Complete the Consultant/Firm name and Federal Tax ID Number for the primary firm <br />information. <br />4. Complete the Subconsultant/Sub Firm name and Federal Tax ID Number for the sub firm <br />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 Subcorsultant/Sub <br />Firm <br />7, *Signatures of both Subconsultant and Prime Consultant are required on each RS -2 Form to <br />be submitted with the Letter of Interest (LDI) to be considered for selection <br />8. Complete "SPSF Status" section - Subconsultant shall check the appropriate box regarding <br />SPSF Status, check Yes if SPSF or No if not SPSF <br />22 <br />Attachment number 1 <br />F -5 Page 177 <br />