Sol_140FC223Q0019_Amd_0001.pdf

(x)

140FC223Q0019

x x copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted ; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGEMENT 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 letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

x

FC2

Falls Church VA 22041 5275 Leesburg Pike FWS, Construction A/E Team 2 FWS Constr A/E 2

06/28/20230001

13. THIS ITEM ONLY APPLIES TO MODIFICATION OF CONTRACTS/ORDERS. IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

12. ACCOUNTING AND APPROPRIATION DATA (If required) is not extended.is extended, Items 8 and 15, and returning

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

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

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

FACILITY CODE CODE

10B. DATED (SEE ITEM 13)

10A. MODIFICATION OF CONTRACT/ORDER NO.

9B. DATED (SEE ITEM 11)

9A. AMENDMENT OF SOLICITATION NO.

CODE

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

7. ADMINISTERED BY (If other than Item 6)CODE 6. ISSUED BY

PAGE OF PAGES

4. REQUISITION/PURCHASE REQ. NO.3. EFFECTIVE DATE2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO. (If applicable)

1. CONTRACT ID CODE

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

06/28/2023

CHECK ONE A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority) appropriation data, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

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

ORDER NO. IN ITEM 10A.

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

CONSTRUCTION SERVICES

PROJECT TITLE: Litchfield WMD HQ Parking Lot Crack Repair, Chip Seal, and Restriping

PLACE OF PERFORMANCE: Litchfield Wetland Management District 22274 615th Avenue.

Litchfield, MN 55355

Meeker county, Minnesota

PROJECT SCOPE: Pavement work to be completed is located in front of Litchfield WMD headquarters office. Objective is to complete crack sealing and application of chip seal to prolong the life of the asphalt surface. The approximate area to be treated is 3,400 square

Continued ...

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

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

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

Jerry Perry

STANDARD FORM 30 (REV. 11/2016)

Prescribed by GSA FAR (48 CFR) 53.243

Previous edition unusable

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

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

2 2

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

140FC223Q0019/0001

yards.

The North American Industrial Classification

Code(NAICS) for this acquisition is 237310

Commercial and Institutional Building

Construction, with a Size Standard of $45M.

Pursuant to FAR 36.204, the estimated Magnitude for the entire project is Between $25,000 and

$100,000.

A formal Site Visit has not been scheduled but It is HIGHLY RECOMMENDED that contractors complete on-site visits before submitting their quotes.

Most measurements in the plans are best estimates based on mapping. Bids must include any mobilization or other related fees.

The period of performance contemplated for this project is as follows: 7/22/2023-9/1/2023

Project must be completed by September 1, 2023.

BASIS OF AWARD:

Purchase Order award will be based on the lowest priced offer and evaluation criteria per

Attachment A.

LIST OF ATTACHMENTS:

Att. No. Attachment Description

A Statement of Work

B Wage Determination

Government Contracting Officer Representative for

Technical Inquiries:

Rick Schutz

Litchfield Wetland Management District 22274 615

Ave. Litchfield, MN 55355

(320) 444-8917 rick_schutz@fws.gov

Government Contracting Points of Contact:

Sanford Carson, Contracting Specialist

Sanford_Carson@fws.gov

Jerry Perry, Contracting Officer

Jerry_Perry@fws.gov

Period of Performance: 07/22/2023 to 09/15/2023

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

Sponsored by GSA

FAR (48 CFR) 53.110