A003.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

1. CONTRACT ID CODE

N/A

PAGE

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

A003 11/21/2017 N/A OR WASH 2015(1)

HAGG LAKE PERIMETER ROAD

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

Department of Transportation Federal Highway Administration 610 East Fifth Street Vancouver WA 98661-3801

8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and Zip Code) 9A. AMENDMENT OF SOLICITATION NO.

X

69056718B000004

9B. DATED (SEE ITEM 11)

10/27/2017

10A. MODIFICATION OF CONTRACT/ORDER NO.

N/A

10B. DATED (SEE ITEM 13)

CODE: N/A FACILITY CODE: N/A

N/A

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

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

(__ ) is extended, ( x ) 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)

N/A

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.

N/A

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).

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

D OTHER (Specify type of modification and authority)

N/A

E. IMPORTANT: Contractor n/a is not, n/a is required to sign this document and return n/a copies to the issuing office.

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

OR WASH 2015(1), HAGG LAKE PERIMETER ROAD

Amendment A003 is issued to revise the following:

SPECIAL CONTRACT REQUIREMENTS:

Page F-7, Subsection 310.13, Measurement. Adds measurement of Cement.

Page F-20A, Subsection 418.08, Measurement. Revises measurement of Asphalt Concrete Pavement Patch, Type 1 and Asphalt Concrete Pavement Patch,Type 2.

PLANS:

Sheet C.3. Revises Typical Section, Pavement Patch, Type 2

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) 15a. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

N/A

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

BY_________________________________________ BY N/A___________________________ N/A (Signature of person authorized to sign) (Signature of Contracting Officer)

NSN 7540-01-152-8070

PREVIOUS EDITION NOT USABLE

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

Prescribed by GSA

FAR (48 CFR) 53.243

F-7 DIVISION 300

Special Contract Requirements Project: OR WASH 2015(1), Hagg Lake Perimeter Road

Section 310. — COLD IN-PLACE RECYCLED

ASPHALT BASE COURSE

03/31/16– FP-14

310.02 Amend as follows:

Delete the following from the material list:

Lime 725.03(c)

Add the following to the material list:

Hydraulic cement 701.01 Lime 725.03 (b)

310.03 Composition of Mix (JMF). Delete paragraph (d) and substitute the following:

(d) Lime or cement content, if required;

310.10 Construction Joints. Delete paragraph (a) and substitute the following:

(a) Longitudinal joints. Offset the longitudinal joint of one layer at least 6 inches (150 millimeters) from the joint in the layer immediately below. Make the longitudinal joint in the top layer along the striped centerline of two-lane roadways or at the lane lines of roadways with more than two lanes.

310.12 Acceptance. Delete the third paragraph and substitute the following:

Cement and lime will be evaluated under Subsections 106.02 and 106.03.

Measurement

310.13 Add the following:

Cement used in Cold In-Place Recycled Asphalt Base Course work will be measured as Lime.

Revised by Amendment A003

F-20a DIVISION 400

Special Contract Requirements Project: OR WASH 2015(1), Hagg Lake Perimeter Road

Section 418. - ASPHALT CONCRETE PAVEMENT

PATCHING

Measurement

418.08. Add the following:

Do not measure asphalt concrete pavement used to construct Asphalt Concrete Pavement Patch, Type 1 or Asphalt Concrete Pavement Patch, Type 2.

Do not measure roadway aggregate used to construct Asphalt Concrete Pavement Patch, Type 1 or Asphalt Concrete Pavement Patch, Type 2.

Revised by Amendment A003

459+00 to 461+00 (Right) (Left)

(Right)

3 Revised by Amendment A003 david.l.mariman Polygon