AG-0489-S-10-0056_srd-beaver-lake-trail_amend1.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

1. CONTRACT ID CODE PAGE OF PAGES

1 2

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

One (1) 3 December 2009

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

US Forest Service EROC Northwest 16400 Champion Way Sandy, OR 97055

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

AG-0489-S-10-0056

9B. DATED (SEE ITEM 11)

11/27/2009

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 extended, 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 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.

copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

12. ACCOUNTING AND APPROPRIATION DATA (If required)

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

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

(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)

E. IMPORTANT: Contractor is not, is required to sign this document and return

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

copies to the issuing office.

Revision to Part I – Section B, Schedule of Items: Items 941(03) and 941(04): Change units from EA to LF. Item 937(01): Change Units from LF to EA. (The revised Schedule of Items is attached)

The closing date/time for receipt of bids remains at December 28, 2009 at 10:00 am

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.

PS.

15A. NAME AND TITLE OF SIGNER (Type or print) 16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

TONYA RYMER

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

12/3/2009 (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

PART I—THE SCHEDULE

SECTION B--SUPPLIES OR SERVICES AND PRICES

SCHEDULE OF ITEMS

(REVISED 12/3/2009)

ITEM NO. DESCRIPTION

(BASE BID ITEMS)

METHOD

OF

MEASURE

UNIT EST

QTY

UNIT

PRICE

TOTAL

931(01) Single Log Bridges (SLB) AQ LF 64 $_______ $________ 931(02) Double Log Bridge (DLB) AQ LF 84 $_______ $________ 937(01) Signpost (Type Signpost) AQ EA 1 $_______ $________ 941(01) Aggregate Surfacing (AS) AQ LF 995 $_______ $________ 941(02) Aggregate Surfacing w/ heavy clearing (AS HC)

AQ LF 1155 $_______ $________

941(03) Aggregate Surfacing w/ ditch

(ASD)

AQ LF 769 $_______ $________

941(04) Aggregate Surfacing w/ base course (ASB)

AQ LF 527 $_______ $________

941(05) Stone Riser Step (SRS) AQ EA 82 $_______ $________ 941(06) Stone Open Drain (SOD) AQ EA 33 $_______ $________ 941(07) Stone Pitching AQ LF 122 $_______ $________ 941(08) Rest Area AQ EA 2 $_______ $________ 951(01) Mobilization LSQ EA 1 $_______ $________ 956(01) Laborer Work AQ EA 10 $_______ $________ 956(02) Trail Rehabiliation LS EA 1 $_______ $________

TOTAL BASE ITEMS $_______ $________

OPTION ITEM #1

937(01) Steel Bridge 1 LS $ $

OPTION ITEM #2

941(10) Aggregate Surfacing material spread on existing trail 30 CY $ $

* METHOD OF MEASUREMENT: AQ = ACTUAL QUANTITIES; DQ = DESIGNED QUANTITIES;

LSQ = LUMP SUM QUANTITIES; VQ = VEHICLE QUANTITIE

Vendor Name: Phone

Signature: Fax Address: Email City, State, Zip: TIN# Duns#