4-AG04T0S170012-SampleBPACall.pdf

BPA CALL DATE page /

/ /2017 1 of 2

Line Item Item Description Quantitiy Unit Unit Price Amount

1.1 Storm proofing by water-bar installation, driveable

0.95 Mile

1.2 Storm proofing by water-bar installation, nondriveable

0 Mile

1.3 Storm proofing by rolling dip installation 0 Each

1.4 Road decommmissioning by surface ripping, water-bar installation

0 Mile

1.5 Road subsoiling by excavator 0 Linear Foot

1.6 Fill slope pullback 1 Lump Sum

1.7 Road closure by berm barricade installation 4 Each

1.8 Road closure by boulder placement 0 Each

1.9 Removal of culvert with fill less than 8 feet 3 Each

1.10 Removal of culvert with fill greater than 8 feet, not exceeding 15 feet

2 Each

1.11 Removal of culvert with fill greater than 15 feet, not exceeding 30 feet

6 Each

1.11(A) Removal of culvert with fill greater than 30 feet, not exceeding 40 feet

0 Each

1.12 End haul 0 Cubic Yards

1.13 Seeding & straw mulching placement for culvert removal

8 Each

1.14 Seeding placement for culvert removal sites 0 Each

1.15 Stream channel rock 0 Cubic Yards

1.16 Project access and unexpected work 0 Lump Sum

1.17 Mobilization with initial equipment cleaning 1 Lump Sum

1.18 Subsequent equipment cleaning 0 Lump Sum

TOTAL

AMOUNT =

xx/xx/2017 xx/xx/2017

Recommended by (Name, Title, Phone)

Corvallis, OR 97331

TO: (Contractor Name & Address)

AG-04T0-B-17-xxxx

FROM: (Forest Service Unit Name)

AG-04T0-K-17-xxxx

SIU-XX-17

CONTRACTING OFFICER'S

PRINTED NAME AND SIGNATURE:

COR: Smokey Bear

SAMPLE - Forest Road Decom/Stormproofing - Road XXXX-XXX

Contractor to be determined

PARENT BPA CONTRACT NUMBER

Siuslaw National Forest, ATTN: Contracting 3200 SW Jefferson Way

BPA CALL NUMBER

OFFEROR'S

PRINTED NAME AND SIGNATURE:

All work on this BPA CALL shall be completed by:

Start Work on this BPA CALL shall begin on :

Road XXXX-XXX phone no: xxx-xxx-xxxx

BPA Call Number: AG-04T0-K-17-xxxx SAMPLE - BPA Call Work List

Road Number XXXX-XXX

Road Number

XXXX-XXX

Station Item Description Road 1100-132 0+00 to 50+00 1.1 Water-Bar Installation, Drivable 0+00 1.7 Remove/Install Berm Barricade 1+00 1.7 Remove/Install Berm Barricade

5+15 (stream) 1.10, 1.13

Culvert Removal 8 to 15 ft. deep. Leave 6 foot bottom with 3 to 1 side slopes. Mulch (no seed).

8+28 (stream) 1.11, 1.13

Culvert Removal Exceeding 15 ft. deep with 2 to 1 side slopes. Leave 6 foot bottom width. Mulch (no seed).

16+25 (stream) 1.11, 1.13

Culvert Removal Exceeding 15 ft. deep with 2 to 1 side slopes. Leave 6 foot bottom width. Mulch (no seed).

19+58 (stream) 1.9

Culvert Removal less than 8 ft. deep with 3 to 1 side slopes. Leave 6 foot bottom width.

26+27 (stream) 1.11, 1.13

Culvert Removal Exceeding 15 ft. deep with 2 to 1 side slopes. Leave 4 foot bottom width. Mulch (no seed).

29+96 waste area

32+96 (stream) 1.11, 1.13

Culvert Removal Exceeding 15 ft. deep with 2 to 1 side slopes. Leave 4 foot bottom width. Mulch (no seed).

36+38 (stream) 1.9

Culvert Removal less than 8 ft. deep with 3 to 1 side slopes. Leave 6 foot bottom width.

37+38 1.9

Culvert Removal less than 8 ft. deep with 3 to 1 side slopes. Leave 3 foot bottom width.

40+95 (stream) 1.11, 1.13

Culvert Removal Exceeding 15 ft. deep with 2 to 1 side slopes. Leave 4 foot bottom width. Mulch (no seed).

42+42 to 43+20 1.6, 1.13

Fill slope pull back. Linear distance total 80 feet. 40 feet each side of existing road failure. Mulch (no seed)

47+45 1.10, Culvert Removal 8 to 15 ft. deep. Leave 4 foot bottom with 3 to 1 side slopes..

51+12 (stream) 1.11, 1.13

Culvert Removal Exceeding 15 ft. deep with 2 to 1 side slopes. Leave 10 foot bottom width. Mulch (no seed).

Project Description: Project site is located in the vicintity of Hebo, Oregon. Access is via Old Hwy 101.

Work consists of installation of berm barricades, drivable water bars, culvert removals, removing access obstructions, cleaning culvert inlets and catch basins, and application of mulch at stream crossings and berm barricades. Contractor will be required to submit a de-watering plan that describes methods to be used to minimize turbidity for CO approval prior to removing culverts at the 4 stream crossings. Pile excavated material as described in Item 5.6.5. Culvert removal sites may be marked with pink flagging. In-stream work period is July 1 through September 15th. Unless otherwise noted, bottom channel width shall be as described in Item 5.6.4.

Daily operations are restricted to two hours after sunrise and two hours before sunset from April 1st through September 15th on all roads. Seasonal restrictions apply to those roads listed in the table below:

Operations allowed only between these dates Juy 1 through September 15th