Amendment 1.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 11. CONTRACT 10 CODE

IPA~E

OF PAGES

I2. AMENDMENTIM09IFIC!'.TION NO. 3. EFFECTNE DATE 4. REQUISITIONIPURCHASE REQ. NO. 15. PROJECT NO. (If applicable) #1

6. ISSUED BY CODE 7. ADMINISTERED BY (If other than Item 6) CODE I USDA Forest Service Rogue River-Siskiyou National Forest 3040 Biddle Road Medford, OR 97504

8. NAME AND ADDRESS OF CONTRACTOR (No.• street. county. State and ZIP Code)

I (X) SA. AMENDMENT OF SOLICITATION

NO.1204N720Q0028

X

SB. DATED (SEE ITEM 11)

10A. MODIFICATION OF CONTRACT/ORDER NO.

10B. DATED (SEE ITEM 13)

CODE TFACILITY CODE

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

IXI The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers)[] is extended. o is not extended.

Offers must acknowledge receipt of this 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 retuming...1.copie(s) 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 indudes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECENED 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 your 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 ONLY APPLIES TO MODIFICATION OF CONTRACTS/ORDERS.

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

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

CHECK ONE A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO.

IN ITEM 10A.o o C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

o D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor 0 is not, ~ is required to sign this document and return. 1=----_ copie(s) to the issuing office.

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

Reference Solicitation Number 1204N720C0028 - Supply and Deliver Chipseal Aggregate- Fremont-Winema National Forest and AMEND as Follows:

DELETE: Option Item 1 Description, Quantity and Size and Replace with: Quantity 2100 CY % minus aggregate

EXTEND Closing date to May 11, 2020 @ 3:00 p.rn, - Pacific Time

All other terms, conditions and specifications shall remain the same.

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

Amy Chapman

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

(\~ r~"'nn... ~ 'N"\./1 V\ (Signature of person authorized to sign) ~ture of Contracting Officer) 4-30-2020

~NSN 7540-01·152·8070

PreviOUSedition unusable

STANDARD FORM 30 (REV. 10-83)

Prescribed by GSA FAR (48 CFR) 53.243