Amendment A005.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)

A005 01/14/2022 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

69056721R000015

9B. DATED (SEE ITEM 11)

12/03/2021

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.)

SD NPS PP BADL 2020(1), Pavement Preservation Badlands

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. A005, dated 01-14-2022 SD NPS PP BADL 2020(1) Solicitation No. 69056721R000015 Pavement Preservation Badlands

REVISIONS ARE AS FOLLOWS:

SPECIAL CONTRACT REQUIREMENTS

Page F-3, Subsection 403.02, Composition of Mix (JMF). Revises requirements of Subsection (a) requirements.

Page G-2, Subsection 703.09, Chip Seal Aggregate. Adds option of following South Dakota Department of Transportation 2A material specifications for Aggregate for Asphalt Surface Treatments.

ENCLOSURES

Pages:

F-3 G-2

F-3 DIVISION 400

Special Contract Requirements Project: SD NPS PP BADL 2020(1), Pavement Preservation Badlands

DIVISION 400

ASPHALT PAVEMENTS

AND SURFACE TREATMENTS

Section 403. — ASPHALT CONCRETE

11/05/15– FP-14

Construction Requirements

403.02 Composition of Mix (JMF). Delete Subsection (a) and Table 403-1 and substitute the following:

(a) Type 1. Submit a South Dakota state department of transportation Class E Type I JMF approved within the past 12 months for approval at least 30 days before production. Binder grade for this project is PG 64-34. For each proposed JMF, submit a production certification conforming to state department of transportation specifications.

403.12 Acceptance. Delete Table 403-2 and substitute the following:

Revised by Amendment A005

ESSF IO OR NP A LD EE NR

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T INSI E

G E

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14868

JOHANNAH L.

TRUJILLO

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01/13/2022

G-2 DIVISION 700

Special Contract Requirements Project: SD NPS PP BADL 2020(1), Pavement Preservation Badlands

Section 703. — AGGREGATE

04/02/21–FP14

703.09 Chip Seal Aggregate. Delete the first paragraph and substitute the following:

Furnish hard durable particles or fragments of crushed gravel, crushed stone, crushed slag, or lightweight aggregates. Use only one type of aggregate on the surface treatment. Conform to the requirements of this Subsection for Grading Designation C; following or conform to current South Dakota Department of Transportation 1A or 2A material specifications for Aggregate for Asphalt Surface Treatments. single course polymer asphaltic emulsion seal coat screenings for Medium gradation (⅜-inches maximum) for Chip Seal Type 1C:

Revised by Amendment A005

Revised by Amendment A003

ESSF IO OR NP A LD EE NR

GE

T INSI E

G E

E R

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14868

JOHANNAH L.

TRUJILLO

R .E OG N .

D AH KT OU

TO

AS

01/13/2022