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Subconsultant Form RS-2 REV 1/15/08(02.21.2023) <br /> NORTH CAROLINA DEPARTMENT OF TRANSPORTATION <br /> SUBCONSULTANT <br /> TO BE USED WITH PROFESSIONAL SERVICES CONTRACT ONLY <br /> RACE AND GENDER NEUTRAL <br /> Orange County Short Range Transit Plan <br /> TIP No.and/or Type of Work(Limited Services) <br /> Nelson\Nygaard Consulting Associates, Inc. <br /> (Consultant/Firm Name ONLY--Include NO PH(Personally Identifiable Information)) <br /> Public Participation Partners (P3) <br /> (Subconsultant/Firm Name ONLY--Include NO PII(Personally Identifiable Information)) <br /> SERVICE/ITEM DESCRIPTION Anticipated <br /> Utilization <br /> Public Outreach and Engagement Services 15-20% <br /> TOTAL UTILIZATION: 15-20% <br /> SUBMITTED BY: RECOMMENDED BY: <br /> SUBCONSULTANT: CONSULTANT: <br /> Public Participation Partners Nelson\Nygaard Consulting Associates, Inc. <br /> : Simone Robinson I <br /> Jennifer Wieland <br /> TITLE: ITLE: <br /> Principal Managing Director <br /> SPSF <br /> Status: Yes❑✓ No ❑ <br /> "SUBCONCONSULTANT"(FORM RS-2) <br /> 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/Finn name for the primary firm information. <br /> 4. Complete the Subconsultant/Sub Firm name 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 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 /> In the event the firm has no subconsultant,it is required that this be indicated on the Subconsultant <br /> Form RS-2 form by entering the word"None"or the number"ZERO"and signing the form. <br />