Amendment 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 02/25/2021 N/A See Box 14

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

69056720B000025

9B. DATED (SEE ITEM 11)

01/28/2021

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.)

MT 14203(1), Maiden Road

See Page 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

Amendment No. A003, dated 02-25-2021 MT 14203(1) Solicitation No. 69056720B000025 Maiden Road

REVISIONS ARE AS FOLLOWS:

SPECIAL CONTRACT REQUIREMENTS

Page F-36, Subsection 602.03, General. Revises Subsection.

PLANS

Plan Sheet D.14 Revises Note 5.

ENCLOSURES

Pages:

F-36

Plan Sheets:

D.14

F-36

Special Contract Requirements Project: MT DOT 14203(1), Maiden Road

DIVISION 600

INCIDENTAL CONSTRUCTION

Section 602. — CULVERTS AND DRAINS

08/01/14–FP14

602.01Add the following:

This work consists of furnishing and installing precast concrete box culvert headwall, cutoff wall, and wingwalls.

Material

602.02Add the following:

Concrete and Mortar 725.14

Construction Requirements

602.03 General. Add the following:

Provide box culvert, headwall, cutoff wall and wingwall design and drawings signed and stamped by a licensed structural engineer registered in the State of Montana. Submit design calculations and working drawings according to Subsection 104.03. If computer analysis is used include one set of hand calculations for each unique design scenario, include the name and version of the software used in the analysis.

Do not start the prefabrication of the box culvert structure until the CO approves final submittals.

Construct watertight box culvert joints as shown in the plans, or construct alternate keyed box culvert joints that are watertight. Submit Specifications and Drawings for alternate box culvert joints according to Subsection 104.03.

602.04 Laying Concrete Pipe and Precast Concrete Box Culverts. Amend as follows:

Delete paragraph (b)(2) and substitute the following:

(2) Align the pipe sections. Force the joints home using the pipe manufacturer’s recommended procedure. Do not drive or ram by hand or machinery.

Delete the last paragraph and substitute the following:

Use supplemental concrete pipe ties when laying concrete pipe in grades 5 percent or steeper.

Install supplemental concrete pipe ties on the last downstream pipe-to-pipe joint and at the downstream pipe-to-end section joint, if present. Block the last day’s run to prevent creep.

Revised by Amendment A003

USE MINOR CONCRETE ACCORDING TO SECTION 601.3

Revised by Amendment A0033