Amendment_A001.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)

A001 08/20/2018 N/A OR FS ERFO 2016(1)-15(3)

Umpqua Repairs 2016

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

69056718B000013

9B. DATED (SEE ITEM 11)

07/19/2018

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 FS ERFO 2016(1)-15(3), Umpqua Repairs 2016

Amendment A001 is issued to revise the following:

PLANS

Sheet A.4 through A.7. Revises mapping scale and/or site coordinates as shown.

ENCLOSURES: Sheets A.4 through A.7

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

Revised by Amendment A001

N

VICINITY MAP

A.4

STATE PROJECT

NUMBER

SHEET

I n t_ ft

D c m y fi le s p w p r o d u c ti o n d o r e f1 a d .d g n

OR

FS ERFO 2017(1)-15(1)

FS ERFO 2016(1)-15(3)

A

M

A u g u s t

C h e c k e d b y

D e s ig n e d b y

F N

N F

N F

C a ll a h a n C r e e k

NP 2925

Drew

Development Rd 3201

National Forest

A p p r o x m il e s

F r o m D r e w t o M e d fo r d

H a tc h e t

C re e k

D r e w C r e e k

NF 800

E lk C re e k

NF 300

Devil Knob Rd or

NF 1610

T ille r

T ra il

H w y

To m

C re ek

B r o w n ie

C r e e k

NP 3232

S F o r k C o w C r e e k

NF 3232

E Fork Evans Creek Road

NF 32

USFS Road 850

NF 32

NF 32

NF 500 NF 31

NF 600

NF 900

NF 6610

Elkhorn Ridge Rd k e er C e ni pr a g u

S

Abbot Praire Rd or

NF 6620

BLM 290

Elder Mill Rd

Timber Creek Rd

Hawk Creek

Flat Creek

-1

E-2

Elk Creek Road

Elk CreekFlat Creek Rd

SCALE IN MILES

1 21

NATIONAL FOREST

UMPQUA

OPTION X

122°59'12.37"W

42°53'02.33"N

MP 7.27

Forest Road 3220

Green Butte Road

SCHEDULE A

122°52'34.72"W

42°51'41.26"N

MP 0.17

Forest Road 1613

Brownie Creek Road

OPTION X

122°42'50.15"W

42°53'58.09"N

MP 7.03

Forest Road 2925

Black Canyon Road

OPTION X

122°43'11.62"W

42°53'21.24"N

MP 8.62

Forest Road 2925

Black Canyon Road

OPTION X

122°57'16.44"W

42°46'11.82"N

MP 6.37

Forest Road 3232

South Fork Cow Creek Road

Waste Pit

122°55'38.67"W

42°45'58.81"N

Forest Road 3232

Peavine Quarry

Waste Site

122°58'17.39"W

42°53'10.18"N

Forest Road 3220

Hatchet Quarry

Waste Site

122°42'49.61"W

42°54'11.82"N

Forest Road 2925

Unnamed Site 2

REVISED BY AMENDMENT A001

N

VICINITY MAP

A.5

STATE PROJECT

NUMBER

SHEET

I n t_ ft m y fi le s p w p r o d u c ti o n d o r e f1 a e .d g n

OR

FS ERFO 2017(1)-15(1)

FS ERFO 2016(1)-15(3)

A u g u s t

C h e c k e d b y

D e s ig n e d b y

Wildwood

Dorena

Cottage Grove

Latham Walden

Saginaw

Walker

Culp Creek Disston

D oren a Lake

Junetta Creek y w

H cifi c a

P woR reviR dR wo R r evi R

Shoreview Dr.

woR rev iR d R sreteeT k ee rC dR

Row River Rd

Reservoir

Dorena

BLM Rd 20-2-28 t a

R k e er

C dR

Mountain Ridge

Pine Hill-Bear

US Forest Service Rd 17

Laying Creek Rd.

Brice Creek Rd.

Row River Rd Laying Creek

COUNTY

LANE

L a k e

C o tt a g e G ro v e

Service Rd. 1751

US Forest

FOREST

NATIONAL

UMPQUA

SCALE IN MILES

0 1 21

SCHEDULE A

122°43'33.13"W

43°46'41.12"N

MP 5.56

Forest Road 1751

Junetta Creek Road

Waste Site

122°44'14.28"W

43°46'51.96"N

Forest Road 1751

Middle Fork Junetta Quarry

Blue Mountain County Park

NATIONAL FOREST

UMPQUA

REVISED BY AMENDMENT A001

Cottage Grove

Walden

Dorena

Culp Creek Disston

Wildwood

Roseburg

P a c if ic H w y

N d R

VICINITY MAP

138 333

A.6

STATE PROJECT

NUMBER

SHEET

I n t_ ft m y fi le s p w p r o d u c ti o n d o r e f1 a f.

d g n

OR

FS ERFO 2017(1)-15(1)

FS ERFO 2016(1)-15(3)

A u g u s t

C h e c k e d b y

D e s ig n e d b y

Saginaw woR reviR

Analauf

Yoncalla

Drain

Oakridge d R ta o b ma etS k e er

C

N F S

Dorena Lake

Park

County

Blue Mountain

Row River Rd Cottage Grove Lake

Mountain Ridge

Pine Hill-Bear

Laying Creek

US Forest Service Rd 17

Laying Creek Rd.

US Forest Service Rd. 1751

Hills Creek Lake

COUNTY

DOUGLAS

Reservoir

Dorena

COUNTY

LANE

SCHEDULE A

122°31'22.40"W

43°31'37.70"N

MP 23.23

Forest Road 38

Steamboat Creek Road

Waste Site

122°34'40.80"W

43°28'34.32"N

MP 2.1

Forest Road 3825

Unnamed Site 1

SCALE IN MILES

0 5 105

S o u th

NF-29

Jackson

Creek

Rd

Jackson

Creek kr o F

W st u ot

S d

R k r

C

1-

D

R M

L B

REVISED BY AMENDMENT A001

N

VICINITY MAP

A.7

STATE PROJECT

NUMBER

SHEET

I n t_ ft m y fi le s p w p r o d u c ti o n d o r e f1 a g .d g n

OR

FS ERFO 2017(1)-15(1)

FS ERFO 2016(1)-15(3)

A u g u s t

C h e c k e d b y

D e s ig n e d b y

OPTION X

122°51'43.06"W

42°59'21.08"N

MP 0.81

Forest Road 2810

Johnnie Springs Road

Waste Site

122°53'29.70"W

42°57'53.58"N

Garbage Quarry

Tiller

Umpqua

Milo

Days Creek

N F -2

R iv e r

U m pq u a

S o u th

NATIONAL FOREST

UMPQUA

Drew

T iller

Trail

H w y

Acaademy

Milo Adventist

Douglas Co. Hwy 1 Tiller Trail Hwy

Days Creek Rd.

Days Creek

Stouts Creek Rd.

BLM Rd 30

BLM Rd 13-0

Johnnie Springs Rd

Galesville Reservoir

River to H w y a n d C le a rw a te r, O

R

.3 m ile s fr o m T ill e r, O

R

Interstate 5 and Canyonville, OR

7.2 miles from Days Creek, OR to

S. Umpqua Road

Shively Creek Rd

BLM RD 31-4-14.0

BLM RD 31-4-21

BLM RD 31-4-27

Upper Cow Creek Rd

SCALE IN MILES

0 1 21