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 01/12/2022 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

69056721R000012

9B. DATED (SEE ITEM 11)

12/21/2021

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).

N/A

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

N/A

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 PRA GLAC 10(44), Lake McDonald Utility Relocation

Amendment A003 is issued to revise the following:

PLANS:

Plan sheet C.2 Revises pump station control panel electrical wiring requirements and clarifies only new or exposed underground wiring shall be in 2” SCH 40 PVC Conduit.

ENCLOSURES: Plan sheets C.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

Set Manhole Cover Flush With Existing Grade

NOTE:

1. Manholes Shall Be Constructed And Installed In Accordance With ASTM C478.

2. The Valve Tapping Saddle And Vent Piping Diameters Shall Match The Size Of The Air Valve.

Rotate Precast Cover So Manhole Frame And Cover Are Centered In Driving Lane.

Cover Shall Have A Minimum Of 4 1-Inch Pick Holes.

Surfacing Shall Match Trench Details On Sheet C.3 Per Air/Vac Vault Location.

2'-0"

8"

24" Dia HS-20 Cast Iron Manhole Frame And Cover

Concrete Grade Rings Minimum of 4 - 2" Risers

HS-20 Precast Cover Slab

2" Combination Air Release Valve

2" Ss Ball Valve (THRD)

Manhole Steps

12" Foundation Fill

60"Ø Precast Monolithic Manhole. Height As Indicated On Plan & Profile Sheets

Cast Manhole Opening, Min 2" Clear Top And Sides Of Pipe, Install Link Type Seal And Grout Around Pipe.

2" SS Spool (THRD X FL)

2" SS Tapping Saddle

C.2MT PRA GLAC 10(44)

CIVIL DETAILS

CABIN PACKAGED LIFT STATION

AND AIR/VAC VAULTCABIN PACKAGED LIFT STATION

AIR/VAC VAULT

Surfacing Mushroom Vent

Cable Connector (Field Installed)

Equalizer

Bedding Material

EPDM Inlet Grommet (Field Installed)

3' -8

To

I nl et

2' -1

Alarm

On

Off

1' -5

1' -1

3'-0" Dia

Discharge Slide Face Quick Disconnect

SS Discharge 1 14" Female NPT

(Factory Installed)

1 1/4" Discharge Line

(304 SS)

Anti-Siphon Check Valve

Fiberglass Tank with Anti-Float Flange

Semi-Positive Displacement Type Pump Directly Driven By 1 HP Motor

Concrete Anchor

2.7 CY Minimum

1 14" Unilateral Valve

Pump Station Control Panel

6"x6" Treated Timber Post

Curb Box Riser

1 14" HDPE WW

Vertical Pipe Support See Sheet C.5

Contractor To Install New Wiring From Cabin.

Reuse Existing Wiring From Cabin. If Wiring Is Deemed Unfit For Reuse, Contractor Shall Notify The CO.

12"

2' -6

2' -0

NPS Drwg. No. GLAC 117 170425

STATE PROJECT SHEET

NUMBER

F:

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C he ck ed b y:

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1" PVC Vent Piping

V ar ie s

Depth Varies.

Contractor To Perform Exploratory Excavation

Prior To Ordering.

2" SCH 40 PVC Conduit

Concrete Base

To Cabin

Flexible Discharge Hose

Supply Cable, 6 Conductor, Type TC

Fiberglass Lid

Lifting Rope (Nylon)

3'-0" Max.

1 14" HDPE Tap

8" HDPE

Forcemain

NOTE:

The Forcemain Shall Maintain Grade To Ensure No High Spots Are Created In The Forcemain Between The Cabin Packaged Lift Station And The 8" Forcemain.

4" PVC SCH 40

4" PVC SCH 40 Tee

Pipe Support See Sheet E.10

Revised by Amendment A0033

All New Exposed or New Underground Wire Shall Be In 2" SCH 40 PVC Conduit