AG-0116-S-11-0084_FP-A001.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

1. CONTRACT ID CODE PAGE OF PAGES

1 1

2. AMENDMENT/MODIFICATION NO. 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQ. NO. 5. PROJECT NO. (If applicable)

A001 See Block 16c

6. ISSUED BY CODE 7. ADMINISTERED BY (If other than Item 6) CODE

Tongass National Forest Federal Building, 648 Mission St.

Ketchikan, AK 99901

Same as block 6

8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State, and ZIP Code) (X) 9A. AMENDMENT OF SOLICITATION NO.

AG-0116-S-11-0084_FP

9B. DATED (SEE ITEM 11)

5/12/11

10A. MODIFICATION OF CONTRACT/ORDER NO.

10B. DATED (SEE ITEM 13)

CODE FACILITY CODE

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

The above numbered solicitation is amended as set forth in item 14. The hour and date specified for receipt of Offers 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 copy 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)

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,

(X) 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.

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)

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.

E. IMPORTANT: Contractor is not, is required to sign this document and return 1 copy to the issuing office.

This amendment incorporates the following changes to the solicitation in Section B.1, Base Item 0001, Line Item 60201-26.

The Description is clarified to read “Temporary stream crossing consisting of 36” minimum diameter CPMS, in sufficient lengths and rock borrow of sufficient depth to support hauling of equipment and materials above water level of stream. See Typical P3 for estimated numbers and configuration of individual pipes temporarily installed.”

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) 16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

Sherman Mayle, Contracting Officer

15B. CONTRACTOR/OFFEROR 15C. DATE SIGNED 16B. UNITED STATES OF AMERICA 16C. DATE SIGNED

/s/ Sherman Mayle 5/17/11 (Signature of person authorized to sign) (Signature of Contracting Officer)

NSN 7540-01-152-8070

Previous edition unusable

30-105 STANDARD FORM 30 (REV. 10-83)

Prescribed by GSA

FAR (48 CFR) 53.243

ATTACHMENT TO MODIFICATION OF CONTRACT, SF-30

PAGE OF PAGES

DATE FOREST PROJECT NAME

Tongass National Forest

MODIFICATION NUMBER ORIGINAL CONTRACT AMOUNT CONTRACT NUMBER

Describe each modification identified by item number, location, etc., and state its purpose. On a separate sheet for internal use, give justification and estimate where applicable.

PROPOSED MODIFICATION

AMOUNT OF INCREASE (+)

OR DECREASE (-)

Item No. Description Unit Previous Qty Change (+/-) New Qty Unit Price Total

NET CHANGE THIS MODIFICATION -$

CONTRACT AMOUNT PRIOR TO THIS MODIFICATION $

NEW CONTRACT TOTAL $

TOTAL CONTRACT TIME DAYS INCREASED DAYS DECREASED NEW TOTAL CONTRACT TIME

SIGNATURE TITLE DATE

SUBMITTED CONTRACTING OFFICER’S REPRESENTATIVE

SIGNATURE TITLE DATE

RECOMMENDED

SIGNATURE TITLE FUNDS AVAIL. MGT. CODE DATE

RECOMMENDED

STANDARD FORM 30