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4MENDMENT 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)

A004 11/25/2020 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

69056720R000008

9B. DATED (SEE ITEM 11)

11/03/2020

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.)

CA NPS PP LAVO 2019(2), Pavement Preservation Lassen

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. A004, dated 11-25-2020 CA NPS PP LAVO 2019(2) Solicitation No. 69056720R000008 Pavement Preservation Lassen

REVISIONS ARE AS FOLLOWS:

BID SCHEDULE

Pages A-7 through A-13. Revises entire bid schedule to revise quantity for Base

Schedule Pay Item 63506-0500; and to remove Option X Schedule Pay Item 63506-0500.

CONTRACT CLAUSES

SPECIAL CONTRACT REQUIREMENTS

Page E-47, Subsection 156.09 Traffic Control Supervisor. Adds requirement.

PLANS

Plan Sheets B.1 through B.2 Revises Sheets to modify quantity for Base Schedule Pay Item 63506-0500; and remove Option X Schedule Pay Item 63506-0500.

Plan Sheet E.1 Revises quantities in Traffic Control Quantities Table.

ENCLOSURES

Pages:

A-7 through A-13 E-47

Plan Sheets:

B.1 through B.2 E.1

Notice to Bidders: Please submit revised pages A-7 through A-13 with your bid.

A-7

BID SCHEDULE

Bidder/Offeror please note: Before preparing the bid, carefully read the Solicitation Provisions.

Insert a unit bid price, in figures, for each pay item for which a quantity appears in the bid schedule. Multiply the unit price by the quantity for each pay item and show the amount bid. Should any mathematical check made by the Government show a mistake in the amount bid, the corrected unit price extension shall govern.

When the word "LPSM" (Lump Sum) appears as a unit bid price, insert an amount for each lump sum pay item.

When a sum based on a fixed rate appears for any pay item in the amount bid column, include the Government inserted amount bid for the item in the total bid amount.

Total all of the amounts bid for each pay item and show the total bid amount.

Bid Schedule

Project No:CA NPS PP LAVO 2019(2)

Project Name:Pavement Preservation Lassen Revised by Amendment A004

A-8

Amendment Item No. Pay Item No. Description Quantity Unit Unit Price Amount

A0020 15101-0000 MOBILIZATION

ALL LPSM $___LPSM_____ $____________

A0040 15301-0000 CONTRACTOR QUALITY CONTROL

ALL LPSM $___LPSM_____ $____________

A0060 15401-0000 CONTRACTOR TESTING

ALL LPSM $___LPSM_____ $____________

A0080 15501-0000 CONSTRUCTION SCHEDULE

ALL LPSM $___LPSM_____ $____________

A0100 40301-0100 ASPHALT CONCRETE PAVEMENT, TYPE 1

76.0 TON $____________ $____________

A0120 40601-0000 FOG SEAL

280 TON $____________ $____________

A0160 40702-0300 CHIP SEAL, TYPE 1C

425,000 SQYD $____________ $____________

A0180 40711-0000 EMULSIFIED ASPHALT

800.0 TON $____________ $____________

A0200 40712-0000 BLOTTER

40 TON $____________ $____________

A0220 40901-2000 MICRO SURFACING, TYPE 2

130,000 SQYD $____________ $____________

A0240 41301-0600 ASPHALT PAVEMENT MILLING, 2-INCH DEPTH

700 SQYD $____________ $____________

A0260 41401-3000 CRACKS, CLEANING AND FILLING

250 LNFT $____________ $____________

A0280 41402-2000 CRACKS, CLEANING AND SEALING

2.10 MILE $____________ $____________

A0300 41801-1000 ASPHALT CONCRETE PAVEMENT PATCH, TYPE 1

90 SQYD $____________ $____________

Bid Schedule Schedule:A Schedule Type:Base

A-9

A0320 41801-2000 ASPHALT CONCRETE PAVEMENT PATCH, TYPE 2

1,700 SQYD $____________ $____________

A0340 50202-0000 SEALING JOINTS AND CRACKS

220 LNFT $____________ $____________

A0360 55901-0000 MEMBRANE WATERPROOFING (PREFORMED MEMBRANE SYSTEM)

607 SQYD $____________ $____________

A0380 62201-0250 DUMP TRUCK, 10 CUBIC YARD MINIMUM CAPACITY

40 HOUR $____________ $____________

A0400 62201-0450 BACKHOE LOADER, 4 CUBIC FOOT MINIMUM RATED CAPACITY BUCKET,

18-INCH WIDTH

40 HOUR $____________ $____________

A0420 62201-2360 VACUUM SWEEPER

40 HOUR $____________ $____________

A0440 62301-0000 GENERAL LABOR

40 HOUR $____________ $____________

A0460 63315-0000 RUMBLE STRIP

25 SQYD $____________ $____________

A0480 63401-0000 PAVEMENT MARKINGS (TYPE B)

1,820,000 LNFT $____________ $____________

A0500 63405-0050 PAVEMENT MARKINGS, SYMBOLS (TYPE B)

125 EACH $____________ $____________

A0520 63502-0700 TEMPORARY TRAFFIC CONTROL, CONE

220 EACH $____________ $____________

A0540 63502-2000 TEMPORARY TRAFFIC CONTROL, PORTABLE CHANGEABLE MESSAGE SIGN

4 EACH $____________ $____________

A0560 63502-3100 TEMPORARY TRAFFIC CONTROL, TRAFFIC SIGNAL SYSTEM

1 EACH $____________ $____________

Bid Schedule Schedule:A Schedule Type:Base

A-10

A0580 63503-0700 TEMPORARY TRAFFIC CONTROL, PAVEMENT MARKINGS

170,000 LNFT $____________ $____________

A0600 63504-1000 TEMPORARY TRAFFIC CONTROL, CONSTRUCTION SIGN

250 SQFT $____________ $____________

A004 A0620 63506-0500 TEMPORARY TRAFFIC CONTROL, FLAGGER

2,700 HOUR $____________ $____________

A0640 63506-0600 TEMPORARY TRAFFIC CONTROL, PILOT CAR

250 HOUR $____________ $____________

A0660 63507-0700 TEMPORARY TRAFFIC CONTROL, TRAFFIC CONTROL SUPERVISOR

72 DAY $____________ $____________

Submitted by:____________________________________ Schedule Total:____________

Bid Schedule Schedule:A Schedule Type:Base

Project Name:Pavement Preservation Lassen A004 Revised by Amendment A004

A-11

Amendment Item No. Pay Item No. Description Quantity Unit Unit Price Amount

X0020 15101-0000 MOBILIZATION

ALL LPSM $___LPSM_____ $____________

X0040 15301-0000 CONTRACTOR QUALITY CONTROL

ALL LPSM $___LPSM_____ $____________

X0060 15401-0000 CONTRACTOR TESTING

ALL LPSM $___LPSM_____ $____________

X0080 15501-0000 CONSTRUCTION SCHEDULE

ALL LPSM $___LPSM_____ $____________

A003 X0100 20303-1900 REMOVAL OF PAVEMENT, ASPHALT, 3-INCH DEPTH

25,000 SQYD $____________ $____________

A003 X0120 40301-0100 ASPHALT CONCRETE PAVEMENT, TYPE 1

4,100.0 TON $____________ $____________

X0140 40712-0000 BLOTTER

20 TON $____________ $____________

X0160 40901-2000 MICRO SURFACING, TYPE 2

5,700 SQYD $____________ $____________

A003 X0180 41101-1000 PRIME COAT, METHOD 1

35.0 TON $____________ $____________

X0200 41402-2000 CRACKS, CLEANING AND SEALING

0.60 MILE $____________ $____________

X0220 41801-2000 ASPHALT CONCRETE PAVEMENT PATCH, TYPE 2

50 SQYD $____________ $____________

X0240 62301-0000 GENERAL LABOR

40 HOUR $____________ $____________

X0260 63315-0000 RUMBLE STRIP

25 SQYD $____________ $____________

X0280 63401-0000 PAVEMENT MARKINGS (TYPE B)

1,500 LNFT $____________ $____________

Bid Schedule Schedule:X Schedule Type:Options

Project No:CA NPS PP LAVO 2019(2)

Project Name:Pavement Preservation Lassen

Revised by Amendment A004 A003 Revised by Amendment A003

A-12

X0300 63405-0050 PAVEMENT MARKINGS, SYMBOLS (TYPE B)

5 EACH $____________ $____________

A004 X0320 63506-0500 TEMPORARY TRAFFIC CONTROL, FLAGGER

400 HOUR $____________ $____________

Submitted by:____________________________________ Schedule Total:____________

Bid Schedule Schedule:X Schedule Type:Options

Project Name:Pavement Preservation Lassen A004 Revised by Amendment A004

A-13

Bid Schedule Summary

Schedule Bid Total

Schedule A - Base(A - 8)

Schedule X - Option(A - 11)

Total - Schedules

Submitted By: ________________________________

Bid Schedule

E-47 DIVISION 150

Special Contract Requirements Project: CA NPS PP LAVO 2019(2), Pavement Preservation Lassen

156.08 Nighttime Operations. Delete the text of the first sentence and substitute the following:

Perform construction operations during the hours of daylight except as otherwise allowed under Subsection 108.01; and as set forth below. When nighttime operation hours are not specified below, nighttime operation hours are from one-half hour before sunset to one-half hour after sunrise.

Submit nighttime operation requests for the following locations at least two weeks in advance, and only perform nighttime operations as approved.

(a) Route 906AZ Southwest (Kohm Yah-mah-nee) Visitor Center Parking Area. 5:00 p.m. to 7:00 a.m.

(b) Route 924 Loomis Museum Parking Area. 5:00 p.m. to 7:00 a.m.

(c) Route 920A-C Manzanita Store Parking. 8:00 p.m. to 7:00 a.m.

(d) Small parking areas as defined under Subsection 156.04(e)(7).

156.09 Traffic Control Supervisor. Add the following:

(l) Transport personnel, construction signs, barricades, drums, cones, tubular markers, and other traffic control devices.

(m) Prepare a Traffic Control Plan (TCP) to ensure safe and efficient pedestrian, bicycle, and vehicular circulation (including Park operations and emergency vehicles) during construction.

Determine phasing and sequencing of signage to route visitors around construction areas and to day-use parking and other appropriate locations. Provide a description of how pedestrians and bicyclists, and safe vehicle passage is provided through the use of signs, flaggers, and pilot cars. Address access for emergency vehicles, police, school buses, rangers, fire, and disaster units. Include closures of trails to public access in the TCP. Submit plan for CO and Park review and approval 14 days prior to any construction activities impacting public traffic.

Maintain and update the TCP throughout the duration of the project and at the request of the CO. Coordinate the TCP with the written construction schedule.

(n) Keep Park visitors out of active construction areas and in designated public pathways.

(o) The traffic control supervisor will not be permitted to operate a pilot car, work as a flagger, laborer, or operator, except to relieve flaggers or pilot car drivers for short periods of time (i.e.

a lunch or rest room break), but will be onsite and available at all times to perform the duties as described in this section.

(p) Use only one Traffic Control Supervisor to perform duties for the work prescribed under both the Base and Option X Schedules.

Revised by Amendment A004

James Mills Digitally signed by James Mills DN: CN=James Mills, OU=A01410D0000017069CDBEED00003F24, O=Unaffiliated, C=US Date: 2020.11.25 13:16:11-07'00'

Sheet and Description

SECTION C SECTION D SECTION E SECTION F -

TYPICAL

SECTIONS PLANS

TEMPORARY

TRAFFIC

CONTROL

PERMANENT

TRAFFIC

CONTROL

ALLOWANCE Bid Schedule

A0020 15101-0000 MOBILIZATION LPSM ALL

A0040 15301-0000 CONTRACTOR QUALITY CONTROL LPSM ALL

A0060 15401-0000 CONTRACTOR TESTING LPSM ALL

A0080 15501-0000 CONSTRUCTION SCHEDULE LPSM ALL

A0100 40301-0100 ASPHALT CONCRETE PAVEMENT, TYPE 1 TON 72.3 3.7 76.0 See sheet C.1

A0120 40601-0000 FOG SEAL TON 267 13 280

A0160 40702-0300 CHIP SEAL, TYPE 1C SQYD 414,604 10,396 425,000

A0180 40711-0000 EMULSIFIED ASPHALT TON 742.9 57.1 800.0

A0200 40712-0000 BLOTTER TON 40 As directed by CO

A0220 40901-2000 MICRO SURFACING, TYPE 2 SQYD 124,095 5,905 130,000

A0240 41301-0600 ASPHALT PAVEMENT MILLING, 2-INCH DEPTH SQYD 665 35 700 See sheet C.2

A0260 41401-3000 CRACKS, CLEANING AND FILLING LNFT 200 50 250

A0280 41402-2000 CRACKS, CLEANING AND SEALING Parking area crack sealing converted to

MILE 1.97 0.13 2.10 units of miles (22'width)

A0300 41801-1000 ASPHALT CONCRETE PAVEMENT PATCH, TYPE 1 SQYD 75 15 90 As directed by CO

A0320 41801-2000 ASPHALT CONCRETE PAVEMENT PATCH, TYPE 2 SQYD 1,552 148 1,700 As directed by CO

A0340 50202-0000 SEALING JOINTS AND CRACKS LNFT 200 20 220

A0360 55901-0000 MEMBRANE WATERPROOFING (PREFORMED MEMBRANE SYSTEM) SQYD 607 607 See sheet C.2

A0380 62201-0250 DUMP TRUCK, 10 CUBIC YARD MINIMUM CAPACITY HOUR 40

A0400 62201-0450 BACKHOE LOADER, 4 CUBIC FOOT MINIMUM RATED CAPACITY BUCKET, 18-INCH

WIDTH HOUR 40

A0420 62201-2360 VACUUM SWEEPER HOUR 40

A0440 62301-0000 GENERAL LABOR HOUR 40

A0460 63315-0000 RUMBLE STRIP SQYD 23 2 25

A0480 63401-0000 PAVEMENT MARKINGS (TYPE B) LNFT 1,772,797 47,203 1,820,000

A0500 63405-0050 PAVEMENT MARKINGS, SYMBOLS (TYPE B) EACH 122 3 125

A0520 63502-0700 TEMPORARY TRAFFIC CONTROL, CONE EACH 220 220

A0540 63502-2000 TEMPORARY TRAFFIC CONTROL, PORTABLE CHANGEABLE MESSAGE SIGN EACH 4 4

A0560 63502-3100 TEMPORARY TRAFFIC CONTROL, TRAFFIC SIGNAL SYSTEM EACH 1 1

A0580 63503-0700 TEMPORARY TRAFFIC CONTROL, PAVEMENT MARKINGS LNFT 161,727 8,273 170,000

A0600 63504-1000 TEMPORARY TRAFFIC CONTROL, CONSTRUCTION SIGN SQFT 250 250

A004 A0620 63506-0500 TEMPORARY TRAFFIC CONTROL, FLAGGER HOUR 2,700 2,700

A0640 63506-0600 TEMPORARY TRAFFIC CONTROL, PILOT CAR HOUR 250 250

A0660 63507-0700 TEMPORARY TRAFFIC CONTROL, TRAFFIC CONTROL SUPERVISOR DAY 72 72

Amendment A004 Amendment Review Date: 11/24/20 Report Date: 11/24/20

A M E N D

Line Item No.

Pay Item Number

SUMMARY OF QUANTITIES -

-N ov -2

6:

P M

Remarks and/or Determination of Estimated QuantityPay Item Description Unit

Estimated Quantities

C

U se rs \C lin to n.

C ho y\ D es kt op \P

S

E R ev ie w

E ng in ee r\ R ev ie w s\ C A N

PS

P

P

LA

V O

9( 2)

PP

L as se n\

A m en dm en t\

A

4\ [S he et s B .1 t hr ou gh

B .2

.x ls m ]S he et

STATE PROJECT

B.1CA NPS PP LAVO 2019(2)CA

SHEET

NUMBER

James Mills Digitally signed by James Mills DN: CN=James Mills, OU=A01410D0000017069CDBEED00003F24, Date: 2020.11.25 13:18:38-07'00'

Sheet and Description

SECTION C SECTION D SECTION E SECTION F -

TYPICAL

SECTIONS PLANS

TEMPORARY

TRAFFIC

CONTROL

PERMANENT

TRAFFIC

CONTROL

ALLOWANCE Bid Schedule

X0020 15101-0000 MOBILIZATION LPSM ALL

X0040 15301-0000 CONTRACTOR QUALITY CONTROL LPSM ALL

X0060 15401-0000 CONTRACTOR TESTING LPSM ALL

X0080 15501-0000 CONSTRUCTION SCHEDULE LPSM ALL

A003 X0100 20303-1900 REMOVAL OF PAVEMENT, ASPHALT, 3-INCH DEPTH SQYD 24,653 347 25,000

A003 X0120 40301-0100 ASPHALT CONCRETE PAVEMENT, TYPE 1 TON 4,027.0 73.0 4,100.0

X0140 40712-0000 BLOTTER TON 20 As directed by CO

X0160 40901-2000 MICRO SURFACING, TYPE 2 SQYD 5,333 367 5,700

A003 X0180 41101-1000 PRIME COAT, METHOD 1 TON 34.7 0.3 35.0

X0200 41402-2000 CRACKS, CLEANING AND SEALING Parking area crack sealing converted to

MILE 0.42 0.18 0.60 units of miles (22'width)

X0220 41801-2000 ASPHALT CONCRETE PAVEMENT PATCH, TYPE 2 SQYD 48 2 50 As directed by CO

X0240 62301-0000 GENERAL LABOR HOUR 40

X0260 63315-0000 RUMBLE STRIP SQYD 23 2 25

X0280 63401-0000 PAVEMENT MARKINGS (TYPE B) LNFT 1,400 100 1,500

X0300 63405-0050 PAVEMENT MARKINGS, SYMBOLS (TYPE B) EACH 4 1 5

A004 X0320 63506-0500 TEMPORARY TRAFFIC CONTROL, FLAGGER HOUR 400 400

Pay Item Description Unit

Estimated Quantities

Remarks and/or Determination of Estimated Quantity

-N ov -2

6:

P M

Amendment A004

Amendment Review Date: 11/24/20 Report Date: 11/24/20

C

U se rs \C lin to n.

C ho y\ D es kt op \P

S

E R ev ie w

E ng in ee r\ R ev ie w s\ C A N

PS

P

P

LA

V O

9( 2)

PP

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A m en dm en t\

A

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B .2

.x ls m ]S he et

2)

SUMMARY OF QUANTITIES - Option X

A M E N D

Line Item No.

Pay Item Number

STATE PROJECT

B.2CA NPS PP LAVO 2019(2)CA

SHEET

NUMBER

James Mills Digitally signed by James Mills DN: CN=James Mills, OU=A01410D0000017069CDBEED00003F24, Date: 2020.11.25 13:19:16-07'00'

1 Revised by Amendment A004

File details come from the government source that posted it. Updated .