Amendment A004.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)

A004 10/31/2023 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

69056723B000022

9B. DATED (SEE ITEM 11)

10/06/2023

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 FLAP POLK MITCHELL(1), Mitchell Street and Black Road Reconstruction

Amendment A004 is issued to revise the following:

SPECIAL CONTRACT REQUIREMENTS Page E-8, Subsection 104.06, Utility Relocations.. Adds bridge construction to list of conflicts that prompt temporary relocation work.

ENCLOSURES: Page E-8

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

E-8 DIVISION 100

Special Contract Requirements Project: OR FLAP POLK MITCHELL(1), Mitchell Street and Black Rock Road Reconstruction

Add the following to Subsection (b)(2):

(o) Containment plan when removing existing bridge superstructure of which contains lead based paint.

Delete Subsection (b)(3)(d) and substitute the following:

(d) Temporary bridge structures for public use, and load ratings for temporary bridge structures for public use.

104.05 Load Restrictions. Add the following:

Unless otherwise permitted, do not operate equipment or vehicles that exceed the legal load limits over new or existing structures. Submit a plan to utilize existing or new structures as temporary works or work platforms according to Section 562.

Submit oversized and overweight permit requests for non-legal loads. Use the BLM Oversized/Overweight Permit Load Request form listed under FAR Clause 52.236-4 Physical Data (Apr 1984).

104.06 Utility Relocations. (Added Subsection).

The following utility companies will be performing temporary relocation work of their facilities when required during tree felling operations (removing and replacing lines or other facilities that interfere with tree felling operations and bridge construction), and will be performing permanent relocation work of their facilities after tree felling is completed on this project (relocating the identified facilities outside of the slope stake limits). The Utility Companies are required to complete their permanent relocation work by February 29, 2024. Provide a 14-day notice to these utility companies before starting tree felling operations; survey and stake new guardrail locations between 31+00 and 31+50, and 32+60 and 33+80 for the utility companies; coordinate work, as well as any de-energizing and re-energizing of utility facilities needed; and allow utility companies to perform their work. Utility outages during tree felling operations are only allowed on Mondays through Fridays, between the hours of 9:00 a.m. and 4:00 p.m.

POWER – Pacific Power Elke Vath 830 Old Salem Rd.

Albany, OR 97322 Phone: (541) 967-6160 Email: elke.vath@pacificorp.com

COMMUNICATION – Century Link (Lumen) Travis Vaughn 740 State St, Rm 740 Salem, OR 97302 Phone: (971) 346-4141 Cell: (541) 749-0347 Email: travis.vaughn@lumen.com

Revised by Amendment A004

Revised by Amendment A003