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Subconsultant Form RS -2 APPENDIX A <br />REV 1115/08 <br />NORTH CAROLINA DEPARTMENT OF TRANSPORTATION <br />SUBCONSULTANT <br />TO BE USED WITH ANY PROCUREMENT INVOLVING SERVICES <br />RACE AND GENDER NEUTRAL <br />rr r -f <br />u -consu an vm name and Federalax Id <br />Service//tem Description <br />Anticipated Utilization <br />A%O E <br />O r: <br />Total Utilization: I <br />A1,91VI-I <br />Submitted By: <br />Sub- <br />consultant: <br />Recommended By: <br />Consultant: <br />*By: <br />*By: timu k <br />Title: <br />Tide: Vice 62n <br />'d_ <br />SPSF Yes No. <br />Status: <br />"SUBCONSULTANT"(FORM RS -2) RACE AND GENDER NEUTRAL <br />Instructions for completing the Form RS -2: <br />1. Complete a Sub -consultant Forth RS -2 for each Sub -consultant firm to be utilized by your <br />firm. <br />2. Insert TIP Number and/or Type of Work (Limited Services); Project No. from Transit System <br />3. Complete the Consultant/Finn name and Federal Tax ID Number for the primary firm <br />information. <br />4. Complete the Sub-oonsultant/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 Sub-consultant/Sub <br />Finn <br />7. 'Signatures of both Sub -consultant and Prime Consultant are required on each RS -2 Form to <br />be submitted with the Letter of Interest (LOI) to be considered for selection <br />S. Complete "SPSF Status" section — Sub -consultant shall check the appropriate box regarding <br />SPSF Status, check Yes if SPSF or No if not SPSF <br />22 <br />Aftchmenl number 1 \n <br />F-3 Page 140 <br />