SF 30 Amendment 1.pdf

OMB CONTROL NO. 0990-0115

1. CONTRACT ID CODE PAGE OF PAGES

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT N/A 1 3

2. AMENDMENT/MODIFICATION NO. 3.EFFECTIVE DATE 4. REQUISITION/PURCHASE REQ. NO. 5. PROJECT NO. (If applicable) Amendment No. 00001 SEE BLOCK 16C N/A

6. ISSUED BY CODE N/A 7. ADMINISTERED BY (if other than item 6) CODE N/A

DHHS/IHS/DIVISION OF ENGINEERING SERVICES

2201 SIXTH AVENUE, M/S RX-24

SEATTLE, WA 98121-2500

SAME AS ITEM 6

8. NAME AND ADDRESS OF CONTRACTOR (x) 9A. AMENDMENT OF SOLICITATION NO.

09-SOL-00011

9B. DATED (SEE ITEM 11)

7/29/2009

(x) 10A. MODIFICATION OF CONTRACT/ORDER

NO.

10B. DATED (SEE ITEM 13)

CODE N/A FACILITY CODE N/A

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

The above numbered solicitation is amended as set forth in Item 14. Th hour and date specified for receipt of Offers is extended, is not extended, Offers must acknowledge receipt of his amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:

(a) By completing Items 8 and 15, and returning 1 copies of the amendment: (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

(x) A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CON-

TRACT ORDER NO. IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation data, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor Is not Is required to sign this document and return 4 copies to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

Rocky Mountain Laboratory Sidewalk Project

This amendment deletes the pricing schedule and replaces it with the attached pricing schedule which adds contract line item 00010 for chain link fence and gate. This amendment also adds attached drawing titled “Sidewalk Drain” and dated 6-10-09 to Attachment J-2 Drawings.

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER (type or print) 16A. NAME AND TITLE OF CONTRACTING OFFICER (type or print)

15B. CONTRACTOR/OFFEROR 15C. DATESIGNED 16B. UNITED STATES OF AMERICA 16C. DATE SIGNED

(Signature of person authorized to sign (Signature of Contracting Officer)

NSN 7540-01-152-8070 30-105 STANDARD FORM 30 (REV 10-93)

PREVIOUS EDITION UNUSABLE Prescribed by GSA

FAR (48 CFR) 53.243

PART I - THE SCHEDULE

Section B - SUPPLIES OR SERVICES AND PRICE/COSTS

B-1 BID SCHEDULE

Item Description

All materials, labor, and equipment to construct the items listed below, as described in the technical specifications and drawings

Qty Unit Unit

Price

Amount

Base Items

00001 4” Thick Concrete Sidewalk with Base 3,200 S.F. $_______ $__________

00002 6” Thick Concrete Sidewalk with Base 2,700 S.F. $_______ $__________

00003 Terra Walks 375 S.F. $_______ $__________

00004 Sidewalks Grading 6,275 S.F. $_______ $__________

00005 Remove Existing Concrete 170 S.F. $_______ $__________

00006 Saw Curb for Laydowns 3 each $_______ $__________

00007 White Painting Striping 1 Job $_______ $__________

00008 Yellow Stained Concrete 1 Job $_______ $__________

00009 Drainage Structures 20 each $_______ $__________

00010 Chain Link Fence and Gate 1 Job $_______ $__________ Grand Total All Items

Amendment # 1 Solicitation No. 09-102-SOL-00011 Interim Sidewalks NIH/NAID Rocky Mountain Laboratories, Hamilton MT

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