Amendment One_ChipSeal.pdf

AMENDMENT OF SOLICITATION 1. CONTRACT ID CODE Page of Pages

1 2

2. Amendment 3. Effective Date 4. Requisition/Purchase Req. No. 5. Project No.

ONE 06/01/2021

6. Issued By: Code 7. Administered By: Code USDA-FS, CSA Northwest 6 1220 SW 3rd Avenue, Suite 310 Portland, Oregon 97204-2829

See Block 6

8. Name and Address of Contractor

(X) 9A. Amendment of Solicitation No.

1240BH21R0028

9B. Dated (See Item 11)

05/24/2021 10A. Modification of Contract No.

10B. Date Issued (See Item 13)

Code Facility Code

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers is extended, 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 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.

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.

B. The above numbered contract/order is modified to reflect the administrative changes 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 ___ copies to the issuing office.

14. Description of Amendment/Modification (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

GAOA Blue Mountain Scenic Byway Chip Seal-Road Repair

The above referenced Solicitation is hereby amended:

-Replace original 52 road vicinity map with the attached revised 52 road vicinity map -All grass shall be removed from the pavement cracks

Return a copy of this amendment with your proposal package or acknowledge on the SF-1442

By signature in Block 15B Contractor releases the Government from all claims relating to this modification. This settlement is complete accord and satisfaction. 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 16A. Name and Title of Contracting Officer

Leslie Solberg

15B. Contractor/Offeror Date Signed 16B. United States of America Date Signed

(Authorized Signature) (Signature of Contracting Officer)

NSN 7540-01-152-8070

PREVIOUS EDITION UNUSABLE

30-105 STANDARD FORM 30 (REV.10-83)

PRESCRIBED BY GSA

FAR (48CFR) 53.243

Oregon

Washington

Idaho

Umatilla National Forest

Umatilla National Forest

Umatilla National Forest

%&'(84

£¤395

")531

9:;53

9:;51

¬«244

UKIAH

Blue Mountain Scenic Byway Chip Seal Forest Service Road 52 Portion

Vicinity Map Umatilla National Forest

Date: 5/25/2021

0 5 10 15 20

Miles

Major Road FSR 52 Chip Seal Major Road Umatilla NF Boundary

52 Road