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APPENDIX Orange County Transportation Multimodal Plan <br /> CHAPTER 6: APPENDIX (FORMS) <br /> PRIME CONSULTANT FORM PS-2 <br /> PRIME Form RS-2 FOR USE ON CONTRACT SOLICITATIONS ONLY REV 07/15/2020.R7S(02.21.2023) <br /> NORTH CAROLINA DEPARTMENT OF TRANSPORTATION <br /> PRIME CONSULTANT <br /> TO BE USED WITH PROFESSIONAL SERVICES CONTRACT ONLY <br /> RACE AND GENDER NEUTRAL <br /> Request for Letters of Interest No 367-005393 Orange County Transportation Multimodal Plan <br /> TIP No.and/or Type of Work(Limited Services) <br /> WSP USA Inc./11-1531569 <br /> (Consultant/Firm Name ONLY--Include NO PH(Personally Identifiable Information)) <br /> SERVICE/ITEM DESCRIPTION <br /> Discipline Anticipated <br /> Description*Code Utilization(%) <br /> 141 Multimodal Transportation Planning 50% <br /> 261 Long Range Transportation Planning 50% <br /> "One(1)per line--please use additional Prime RS-2 Forms if necessary. TOTAL UTILIZATION: 100.00% <br /> "PRIME CONSULTANT"(FORM RS-2)RACE AND GENDER NEUTRAL RECOMMENDED BY: <br /> Instructions for completing the Form RS-2: CONSULTANT: <br /> 1. Complete a Prime Consultant Form RS-2 for the prime consultant firm. <br /> 2. Insert TIP Number and/or Type of Work(Limited Services) WSP USA Inc <br /> 3. Complete the Consultant/Finn name for the primary firm information. <br /> 4. Enter Service/Item Description—describe work to be performed by the *BY: <br /> Prime Firm Ir <br /> 5. Enter Anticipated Utilization—Insert dollar value or percent of work to the Emily Ritzler,AICP SVP <br /> Prime Firm TITLE: Southern States Advisory Business Line Lead <br /> 6. *Signature of the Prime Consultant is required on each RS-2 Form to be Senior Vice President <br /> submitted with the Letter of Interest(LOI)to be considered for selection <br /> 7. Complete"SPSF Status"section-Check the appropriate box regarding <br /> SPSF Status,check Yes if SPSF or No if not SPSF SPSF Status: ❑YES ❑NO <br />