Amendment_Three.pdf

(x)

15-247-SOL-00057

x x

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 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 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.

x

Phoenix AZ 85016 4212 North 16th Street Phoenix Indian Medical CTR

05/09/2015000003

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

05/09/2015

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 date, 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.)

Amendment No. Three is hereby issued to Solicitation No. 15-247-SOL-00057 as follows:

1. Extend the Solicitation closing date to 6/5/15 at 12:00 pm, Phoenix, Arizona Time.

2. Add to Section C, Description/Work Statement as follows:

a.) Section C-1, add the following: This is a unit price contract; offeror will provide a price per linear foot. This is a multi-year service contract with a base year and 4 option years to extend.

An option to this service contract is for the contractor to provide all equipment, supplies

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)

BRIAN G. NUMKENA

STANDARD FORM 30 (REV. 10-83)

Prescribed by GSA

FAR (48 CFR) 53.243

NSN 7540-01-152-8070

Previous edition unusable

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.

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)

15-247-SOL-00057/000003

and services (including overhead, profit, deliver, taxes and miscellaneous expenses) to remove and replace approximately 2,300 square feet of pavement which is cracked at a width greater than 1-inch. This option is a unit price contract, offerer will provide a price per square foot.

b.) Add the following to Paragraph 4.3 as follows: The Facility Manager shall be notified a minimum of 48 hours in advance of any work resulting in the disruption of parking or traffic flow through the parking lot.

c.)Add to Paragraph 7.1, number 4, as follows:

Submit Specifications for removing and replacing pavement including a description of proposed methods and material submittals.

d.) Revise Part 8, Detailed Description of Work as follows: SEALING OF CRACKS IN, AND REMOVAL AND

REPLACEMT OF, BITUMINOUS PAVEMENTS.

3.Offeror shall complete the Price Schedule, Attachment C, with a Price Proposal.

4.Offeror shall submit a payment bond within 10 calendar days.

5.All other terms and conditions of the solicitation remain unchanged.

LIST OF CHANGES:

Bids due date : 2015-05-22 00:00:00 changed to

2015-06-05 00:00:00

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

Sponsored by GSA

FAR (48 CFR) 53.110

ATTACHMENT C: PRICE PROPSAL FOR CRACKED PAVEMENT PROJECT

Offeror to enter in Price Quote based on the estimated annual linear footage and the option for the one time job of removing and repairing pavement as follows:

1. COST FOR BASE YEAR PLUS OPTION YEARS TO RENEW:

Description Quantity Total Price

Per Linear Foot

Total

Base Year 6,000 $ $ Option Year One (1) 6,000 $ $ Option Year Two (2) 6,000 $ $ Option Year Three (3) 6,000 $ $ Option Year Four (4) 6,000 $ $

TOTAL $

2. COST FOR ONE TIME JOB OF REMOVING AND REPAIRING

CRACKED PAVEMENT:

Description Quantity Total Price

Per Square Feet

Total

Option: Remove and Repair Pavement

2,300

TOTAL $

GRAND TOTAL: ADD 1 AND 2 TOGEATHER:$___________________